Lung Carcinomas Flashcards

1
Q

Virtually all ______ has metastasized by the time of diagnosis

A

Small cell lung carcinomas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

_______ carcinoma of the lung is strongly associated with smoking

A

Squamous cell carcinoma and small cell carcinoma (99% of small cell cancer is associated with cigarette smoking)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the MOA of crizotinib?

A

protein kinase inhibitor that inhibits EML4/ALK fusion protein found in 45% of NSCLC patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

99% of ________ carcinoma is associated with cigarette smoking

A

small cell carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Grading of adenocarcinoma is based on the ratio of:

A

Glands to solid elements. More glands = better differentiated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

large cell carcinoma is diagnosed via _____

A

exclusion: no feature of small cell carcinoma, no gland differential or squamous differentiation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

which lung carcinomas are located centrally?

A

squamous cell and small cell carcinoma and carcinoid tumor of the lung

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cavitations are seen in what lung carcinoma?

A

Squamous cell carcinoma;

Cavitation due to central necrosis emptying into the airways during cough

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the difference between the typical and atypical variant of carcinoid tumor

A

typical variant does not have necrosis and has little mitosis while typical has necrosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

patients with which disease would you give tyrosine inhibitors such as _____ or ______

A

gefitinib or erlotinib;

give to patients with advanced lung carcinomas and test positive for EGFR mutation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

people with advanced lung carcinomas who test positive for the ______ mutation are more likely to respond to treatment with ____________

A

tyrosine kinase inhibitors such as: gefitinib and erlotinib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the common non small cell lung cancers?

A
  • adenocarcinoma
  • Squamous cell carcinoma
  • Large cell carcinoma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are examples of drugs that are tyrosine kinase inhibitors

A

gefitinib and erlotinib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

large cell carcinomas have _______ prognosis

A

poor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Proliferation of ________ is seen in atypical adenomatous hyperplasia (precursor lesion of adenocarcinoma of lung)

A

Minimally atypical pneumocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are some histological evidence of squamous cell carcinoma?

A
  • keratin pearls (accumulation of keratin surrounded by squamous cells)
  • Intercellular bridges
  • Individual cell keratinization (keratin accumulates inside the cell)
17
Q

carcinoid tumor of the lung arises from ________

A

Kulchitsky cells (neuroendocrine tumor)

18
Q

what are some histological features of small cell carcinoma?

A
  • round, scant cytoplasm
  • finely granular chromatin
  • nuclear molding
  • extensive necrosis
19
Q

patients with carcinoid tumor of the lung can present with ______

A

carcinoid syndrome in which they have episodic attacks of flushes, diarrhea, cramps, vomiting, asthma attacks

20
Q

_________ is the most common lung cancer in NON smokers

A

Adenocarcinoma

21
Q

nests of tumor cells separated by fibrovascular septae with salt and pepper chromatin

A

carcinoid tumor

22
Q

_________ is contraindicated in patients with squamous cell carcinoma because it an cause life threatening hemorrhage

A

bevacizumab

23
Q

what are the three major histological pattern seen in mesothelioma

A
  • epithelial
  • sarcomatoid
  • mixed (biphasic)
24
Q

What are the 4 main common types of primary pulmonary neoplasms

A
  • adenocarcinoma
  • Squamous cell carcinoma
  • Large cell carcinoma
  • Small cell carcinoma
25
Q

cavitations, cigarettes and hypercalcemia is seen in _________

A

Squamous cell carcinoma

26
Q

Most common lung carcinoma < 45 years old

A

Adenocarcinoma

27
Q

what drug inhibits EML4/ALK fusion protein

A

crizotinib

28
Q

_________ line the alveoli in adenocarcinoma in situ (bronchialveolar subtype)

A

Tall columnar mucin producing cells

29
Q

centrally located, polypoid growth describes what lung disease?

A

carcinoid tumor