Lung cancer

Question 1

Risk Factors

Answer 1

Smoking, Age, Male, Fhx, Obesity, Occupational Exposure

Question 2

Symptoms

Answer 2

Most commonly incidental finding
1. Cough, Breathless, Haemoptysis
2. Horners Syndrome
3. SVC Obstruction
4. Paraneoplastic Syndrome
5. Hoarse Voice
6. Constitutional Symptoms

Question 3

Investigations

Answer 3

Routine bloods
CXR
Staging CT
PET Scan
USS Guided biopsy
Bronchoscopy

Question 4

WHO Performance scale

Answer 4

0 - Unrestricted
1- Unable to complete streneous exercise
2 - In chair less than 50% of time
3 - In chair more than 50% of time
4- Disable
5- Dead

Question 5

MRC Dyspnoea Scale

Answer 5

1 - Restricted on streneous exercise
2- Breathless when rushing or slight hill
3 - walks slower than same age must pause
4 - Unable to walk more than 100m, couple minutes break required
5 - Breathless at rest, while dressing.

Question 6

NSCC Types

Answer 6

Adenocarcinoma
Large cell carcinomas
Squamous cell carcinoma
Carcinoid tumour

Question 7

Management

Answer 7

Stage 1 - Surgical ressection
Stage 2 - Surgical ressection
Stage 3a - Surgical ressection & Chemotherapy (PS 0-2)
Stage 3b/4 - Radiotherapy
Palliation - Radiotherapy