Lung Ca Flashcards
1
Q
Red flags for lung cancer?
A
- change in cough
- haemoptysis not associated with increased sputum
- weight loss
- monophonic wheeze
- exposure to asbestos
2
Q
Types of lung cancers?
A
- Small cell lung
- Large cell
- adenocarcinoma
- squamous cell
- alveolar Ca - not associated with smoking w/ ++ sputum
3
Q
RF for lung carcinoma?
A
- smoking - active and/or passive
- urban living
- exposure - asbestosis, chemicals, arsenic, petroleum components, dyes
- pre-existing lung conditions - IPF, HIV, genetics
4
Q
How do lung Ca typically present?
A
- local affect of tumour
- spread in the chest
- mets
- non-met presentation
5
Q
Some typical local effects of lung Cas?
A
- SVC obstruction - neck, arm and facial swelling
- hoarse voice - recurrent laryngeal palsy
- dysphagia
6
Q
Spread in the chest Sx of lung Ca?
A
- horners - interuption of the sympathetic chain
- pancoasts tumour - spread to the brachial plexus - arm and neck pain/paraesthesia
7
Q
Where do lungs metastise to?
A
- brain
- bone
- liver
- adrenal
8
Q
non-metastatic presentations of lung Ca?
A
- unresolved pneumonia
- pleural effusion
- finger clubbing
- paraneoplastic syndrome - LEMS, SIADH, ectopic ACTH
- constitutional - malaise, fever, fatigue, weight loss, night sweat
9
Q
IX for lung Ca?
A
- CXR
- CT
- bronchoscopy + biopsy
- PET
10
Q
Assessment for eligibility for lung Ca surgery?
A
- WHO performance status
- ECG
- exercise capacity
- pulmonary function test
11
Q
When should we refer for a 2 week wait lung Ca?
A
- CXR with unexplained shadow
- > 40 with unexplained haemoptysis
- > 40 + smoking Hx + 1 of the following: -cough, fatigue, SOB, weight loss, chest pain
12
Q
What cancers spreads to lung?
A
- breast
- colon
- prostate
- kidney
- melanoma
- lymphoma
- thyroid
