lung neoplasms

Question 1

first step when you see a mass on a CXR?

Answer 1

look for an old CXR

Question 2

if no previous CXR or change in appearance, then what to do?

Answer 2

do a CT

Question 3

central concentric popcorn calcifications; smooth margins on CXR - likely to be benign or cancer?

Answer 3

benign

Question 4

if irregular calcification or NO calcification - likely to be benign or cancer?

Answer 4

cancer

Question 5

what are teh most common cancers that metastasize to lung?

Answer 5

breast, colorectal, prostate, cervical, endometrial

Question 6

what are the big 4 lung cancers?

Answer 6

SCLC, adenocarcinoma, LCC, SCC

Question 7

if the pathology of a lung biopsy comes back with a lot of necrotic tissue, what is it most likely?

Answer 7

small cell lung cancer

Question 8

which lung cancer has early distant metastasis?

Answer 8

small cell lung carcinoma

Question 9

keratin pearls or intercellular bridges, cavitary

Answer 9

squamous cell carcinoma

Question 10

what is the #1 lung cancer in nonsmokers, women, and ppl

Answer 10

adenocarcinoma

Question 11

peripherally located, sheets of cells, can cause early cavitating masses, late distant metastasis, poorly differentiated

Answer 11

large cell carcinoma

Question 12

when tumor obstructs venous drainage in SVC, presents with head swelling, CNS S/Sx, incr BP in upper extremities, venous congestion

Answer 12

SVC syndrome

Question 13

which type of lung cancer can lead to cushings, SIADH, or eaton-lambert syndrome?

Answer 13

small cell carcinoma

Question 14

DIC, thrombophlebitis, microangiopathic hemolytic anemia

Answer 14

adenocarcinoma

Question 15

most likely metastasis sites

Answer 15

liver, brain, bone, adrenal

Question 16

indications for low dose CT scan (4)

Answer 16

1. age 55-74
2. 30 pack year smoking hx
3. current smoker, or quit in last 15 yrs
4. relatively good health

Question 17

prognosis of stage 4 lung cancer?

Answer 17

less than 1-2% 5 yr survival chance

Question 18

when to do surgery + chemo?

Answer 18

stage 1 & 2 non small cell carcinoma

Question 19

tx of advanced stage small cell carcinoma?

Answer 19

chemotx + radiation

Question 20

if a person smokes and has exposure to asbestos, risk of mesothelioma is????

Answer 20

doubled

Question 21

name that benign pulm neoplasm: peripheral, composed of normal tissue, higher rate in mean in 6/s, salitary, popcorn calcification

Answer 21

hamartomas

Question 22

name that benign pulm neoplasm: central, slow growing, endobronchial, chronic cough, sx of obstruction, hemoptysis

Answer 22

bronchial adenoma