Pleural Plaques and Mesothelioma Flashcards

0
Q

Stage2

A

Invades chest wall, mediastinum, oesophagus, heart, contralateral pleura, lymph nodes

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1
Q

Stage1

A

Contained within capsule of parietal pleura lung, pericardium, diaphragm

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2
Q

Stage3

A

Invasion through diaphragm into peritoneum, positive extra thoracic lymph nodes

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3
Q

Stage4

A

Distant blood born metastases (very rare)

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4
Q

Dx

A

Good occupational history**
Pleural fluid analysis: (types of cells)
Pleural biopsy via VATS* or thoracostomy/pleuroscopy
Immunohistochemistory: non dx

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5
Q

Mean survival

A

Pleural meso: 11.4 months

Peritoneal meso: 7.4 months

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6
Q

Tx

A

Surgery
Radiation
Chemo
other

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7
Q

Malignant Pleural Effusion

A

VATS (safer)

Talc pleurodesis via tube thoracoscopy

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8
Q

Radiation therapy

A

NOT used as monotherapy

Dyspnea and SVCO do NOT respond to radiation**

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9
Q

Ashwagandh extracts

A

Alternative treatment: indian med

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