NSCLC

Question 1

Lung Staging: Tumor </= 1 cm

Answer 1

T1a

Question 2

Lung Staging: Tumor >1 cm </= 2 cm

Answer 2

T1b

Question 3

Lung Staging: Tumor > 2 cm but </= 3 cm

Answer 3

T1c

Question 4

Lung Staging: Tumor > 3 cm </= 4 cm

Answer 4

T2a

Question 5

Lung Staging: Tumor >4 cm </= 5cm

Answer 5

T2b

Question 6

Lung Staging: Tumor > 5 cm </= 7 cm or invading parietal pleural, chest wall, phrenic nerve, parietal pericardium or separate tumor nodules in same lobe as the primary

Answer 6

T3

Question 7

Lung Staging: Tumor > 7 cm or invading diaphragm, mediastinum, hear, great vessels, trachea, recurrent laryngeal nerve esophagus, vertebral body, carina, separate tumor nodules in an different ipsilateral lobe

Answer 7

T4

Question 8

Lung Staging: Metastasis in ipsilateral peribronchial/hilar/intrapulmonary nodes including direct extension

Answer 8

N1

Question 9

Lung Staging: Metastasis in ipsilateral mediastinal/subcarinal lymph nodes

Answer 9

N2

Question 10

Lung Staging: Metastasis in contralateral mediastinal/hilar, or ipsilateral or contralateral scalene/SCV nodes

Answer 10

N3

Question 11

Lung Staging: T1mi-a N0M0

Answer 11

Stage IA1

Question 12

Lung Staging: T1b N0M0

Answer 12

Stage IA2

Question 13

Lung Staging: T1c N0M0

Answer 13

Stage IA3

Question 14

Lung Staging: T2a N0M0

Answer 14

Stage IB

Question 15

Lung Staging: T2b N0M0

Answer 15

Stage IIA

Question 16

Lung Staging: T1-2 N1 M0 or T3 N0M0

Answer 16

Stage IIB

Question 17

Lung Staging: T1-2 N2 or T3 N1 or T4 N0-1

Answer 17

Stage IIIA

Question 18

Lung Staging: T1-2 N3 or T3-4 N2

Answer 18

Stage IIIB

Question 19

Lung Staging: T3-4 N3

Answer 19

Stage IIIC

Question 20

Lung Staging: Any T Any N M1a-b

Answer 20

stage IVA

Question 21

Lung Staging: Any T Any N M1c

Answer 21

stage IVB

Question 22

Lung Staging: Contralateral lobe nodules, pleural/pericardial nodule or malignant pleural/pericardial effusion

Answer 22

M1a

Question 23

Lung Staging: Single extrathoracic met in single organ

Answer 23

M1b

Question 24

Lung Staging: multiple extrathoracic mets in a single or multiple organs

Answer 24

M1c

Question 25

criteria for lung cancer CT screening

Answer 25

age > 50, > 20 p-y smoking hx

Question 26

Lung Ca workup

Answer 26

H&P, CT chest, PET, MRI brain stage II or higher, CBC, CMP Biopsy, mediastinal staging PFTs, Smoking cessation, nutrition

Question 27

PFT level for operable vs non-operable candidates

Answer 27

Inoperable: FEV1 < 50%, DLCO < 50%, FVC< 60% Operable: FEV1 > 70%, DLCO > 80%, FVC > 80%