Lung Cancer Flashcards
Prolonged history of cough +/- blood and weight loss in elderly or smoker suggests?
Lung cancer
What is the most common lung cancer?
Adenocarcinoma
What lung cancer is most associated with smoking?
Small cell lung cancer
What lung cancer is most associated with paraneoplastic syndromes?
Small cell lung cancer
Who gets 2 week lung cancer referral?
CXR findings suggestive of Lung Ca
>=40 with unexplained haemoptysis
Who gets an urgent chest X-ray for suspected lung cancer?
> 40s with >=2 lung cancer symptoms
Who gets referred for suspected mesothelioma?
CXR findings suggestive of mesothelioma
Who gets sent for an urgent CXR for suspected mesothelioma?
> 40 with
2 unexplained symptoms
1 unexplained symptom + ever smoked/asbestos exposure
After CXR, what is the gold standard investigation for lung cancer?
Non-Contrast CT to confirm and stage
+ Bronchoscopy/needle aspiration
What are the first line and curative options for non-small cell lung cancer?
Lobectomy
Radiotherapy for stage I-III
Chemo for III/IV
What is the treatment for small cell lung cancer therapy?
Palliative chemotherapy
What type of lung cancer is most likely to cause finger clubbing, hyponatraemia or cushingoid features
Small cell lung cancer
Where does lung cancer metastasise to?
Brain
Breast
Adrenals
Bone
What are the risk factors for lung cancer?
Smoking HIV Occupational exposure Radiation Exposure of occupation
