Lung Cancer - clinical approach Flashcards
smoking + asbestos leads to which lung cancer?
bronchogenic
(small cell or non-small cell)
lung cancer in _____ degree relative increases lung cancer risk?
first
Does diet prevent lung cancer?
higher intake of fruits/veggies may; unsure
B-carotene or vit E non conclusive
only definitive prevention of lung cancer
smoking cessation
lung cancer screening
LDCT (low dose helical CT)
(sputum and plain CT not effective)
medicare approved
lung cancer screening
LDCT (low dose helical CT)
(sputum and CT does not effective)
medicare approved if asymptomatic + risk factors and over 55 yo
tabacco smoking history that increases lung cancer risk
pack/day x years smoking hx
20 pack years
85% risk;
when do you hear stidor
inspiration
wheezing is exhalation
sx of lung cancer (5)
- cough; new or changed
- hemoptisys
- stridor or wheezing
- anorexia
- weight loss
- asthenia (loss of energy/strength)
What imaging abdormalities are seen in lung cancer?
- enlarging nodule or mass
- persistent atelectasis, opacity or pleural effusion
must compare to previous imaging (changes in 2 years)
Define “nodule”
<3mm round opacity
if > 3 mm = mass
Describe a benign nodule
on CXR or CT
calcification that is diffuse, central or laminar
3 CT features suspicious for malignancy of lung
- spiculated edges
- irregular margins
- lymphadenopathy
When do you get a CT scan of suspected lung cancer?
nodule > 4mm or no previous films
if stable < 4 mm = no f/u needed
when do you consider biopsy of suspected lung cancer?
nodule 8 mm & high risk