Lung Cancer 01.15

Question 1

3 symptoms of Lung Cx which if combined must get cxr

Answer 1

Chest pain
Haemoptysis
Wt loss

Question 2

Why might a lung cancer cause a hoarse voice?

Answer 2

Tumour pressing on recurrent laryngeal nerve

Question 3

2 signs of IVC obstruction

Answer 3

1. Neck / face swelling

2. Dilated veins - chest

Question 4

What is present on the hands of 35% of lung cx patients

Answer 4

Finger clubbing

Question 5

Which area of the lung does a Pancoasts tumour occur (and so could be easily missed)

Answer 5

Apex of lung

Question 6

What might you suspect in person with shoulder pain, muscle wasting in hand, and horner’s syndrome?

Answer 6

Pancoasts tumour - erodes into ribs (shoulder pain)
Presses on C8, T1 nerves - hand
Affects sympathetic nerves (horners)

Question 7

4 causes of massive pleural effusion (of which lung cx is one - why?)

Answer 7

TB
Empyema
Haemothorax
Lung cancer - mets in pleura

Question 8

Common site for lung cancer mets

Answer 8

Adrenal glands