Lung Cancer Flashcards
1
Q
four types of lung cancer
A
- squamous cell carcinoma
- small cell
- adenocarcinoma
- large cell
2
Q
what does squamous cell carcinoma secrete?
A
PTH
3
Q
where are squamous cell carcinomas often located in the lung?
A
central lesions
4
Q
what does small cell secrete?
A
ACTH
5
Q
adenocarcinoma associations
A
- non smoker
- peripheral lesions
(cancer in the glands of the epithelium)
6
Q
associated syndromes with small cell
A
- SiADH
- Lambert-Eaton
- Cushing’s
7
Q
presentation of lung cancer
A
- cough for more than 3 weeks
- haemoptysis
- weight loss
8
Q
what does a hoarse voice indicate?
A
laryngeal nerve palsy
9
Q
what does AF and a pericardial effusion indicate?
A
pericardium invasion
10
Q
what does the presence of a pleural effusion indicate?
A
pleural cavity invasion
11
Q
what does dysphagia indicate
A
oesophageal invasion
12
Q
what does hand atrophy indicate
A
brachial plexus invasion (Pancoast tumour- Horner’s syndrome)
13
Q
what does a distended JVP indicate?
A
SVC invasion
14
Q
what do dilated veins on the abdomen indicate?
A
IVC invasion
15
Q
diagnosis of lung cancer
A
- CXR (does not show lymph nodes)
- CT
- PET
- bloods
- biopsy (bronchoscopy if central and percutaneous FNA if peripheral lesions)
