Pathology of pulmonary neoplasia Flashcards

1
Q

What percentage of deaths in Scotland are due to lung cancer?

A

6%

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2
Q

What percentage of lung cancer is due to smoking?

A

85%

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3
Q

What percentage of smokers will get lung cancer?

A

10%

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4
Q

What is the increased risk for males and females respectively of getting lung cancer if they are a smoker?

A

22 for males and 12 for females

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5
Q

What is the increased risk of lung cancer due to passive smoking?

A

50-100%

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6
Q

What percentage of non smoking lung cancers are due to passive smoking?

A

25%

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7
Q

What is the main reason that when you stop smoking your risk of lung cancer doesn’t go back to normal/

A

The genomic damage has already been done

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8
Q

What fraction of people smoke?

A

1/3

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9
Q

What percentage of men and women respectively smoke?

A

50% and 12%

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10
Q

Are men or women more susceptible to smoke?

A

women

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11
Q

About how many recognised carcinogens are in a cigarette?

A

60

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12
Q

What type of stem cells in the lung periphery transform in cancer?

A

Bronchioalveolar epithelial stem cells

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13
Q

What cancer is found in the lung periphery?

A

adenocarcinoma

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14
Q

What stem cells in the central lung airways transform in cancer?

A

Bronchial epithelial stem cells

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15
Q

What cancer is found in the central lung airways?

A

Squamous cell carcinoma

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16
Q

Name the 4 main types of lung carcinoma

A

Squamous cell
Adenocarcinoma
large cell
small cell

17
Q

What did bronchiolalveolar cell carcinoma used to be known as and what is it known as now?

A

subtype of adenocarcinoma

adenocarcinoma in situ

18
Q

What is non small cell carcinomas?

A

NOT ONE DISEASE

19
Q

What endocrine hormones does small cell carcinoma affect?

A

ACTH and siADH

20
Q

What endocrine hormones does squamous cell carcinoma affect?

21
Q

What might prognostic markers be used to select patients for?

A

Adjuvant therapy

22
Q

What is the 5ys rate for Scotland?

23
Q

What stages of lung cancer are operable?

A

Stage 1 and 2 only - 10% of patients

24
Q

What is the median survival for small cell carcinoma?

25
What biomarkers will be used for prediction in adenocarcinoma?
EGFR and ALK translocations
26
What therapy might be used to allow the cell to kill the cancer?
Immune checkpoint inhibitors