Lung cancer

Question 1

M:F

Answer 1

M>F

Question 2

What are the types of lung cancer

Answer 2

Small cell (15%)

Non small cell:

• Large cell (15%)
• Squamous (30%)
• Adenocarcinoma (40%)

Question 3

What is the worst type and what are its characteristics

Answer 3

Small cell- in smokers and is aggressive

Question 4

What is large cell like?

Answer 4

Quick spread a growth

Peripheral

Poorly differentiated

beta HCG secreting

Question 5

What is squamous cell like?

Answer 5

Slower growing

Smokers

PTH secreting –> hypercalcaemia

Central location

Hypertrophic osteoarthropathy- clubbing

Question 6

What is adenocarcinoma like?

Answer 6

Non smokers often

Peripheral lesion

Question 7

Someone presenting with ptosis, miosis and anhidrosis is likely to have what and where?

Answer 7

Horner’s

Pancoast tumour

L upper zone

Question 8

What paraneoplastic syndromes occur in lung ca

Answer 8

SIADH (hyponatraemia)

Ectopic ACTH (cushings)

Eaton Lambert Syndrome

(HPOA) Hypertrophic osteoarthropathy

Question 9

What is eaton lambert syndrome?

Answer 9

Like a lung cancer version of myaesthenia gravis

Question 10

What might a normal bronchoscopy in susp lung cancer suggest

Answer 10

Peripheral lesion

Question 11

Clubbing is likely to be what type?

Answer 11

Squamous cell

Question 12

What is hypertrophic osteoarthropathy?

Answer 12

HPOA

Periosteal reaction of long bones without underlying bone lesion

Typically symmetrical clubbing