PULM cancer

Question 1

What are the 3 types of non-small cell carcinoma (NSCC)

Answer 1

1. Adenocarcinoma
2. Squamous cell
3. Large Cell

Question 2

Which 2 types of non-small cell carcinomas are found peripherally?

Answer 2

1. Adenocarcinoma
2. Large cell

Question 3

Which sub-type of squamous cell carcinoma is found centrally?

Answer 3

squamous cell carcinoma

Question 4

Is small cell lung cancer found centrally or peripherally?

Answer 4

CENTRALLY

Question 5

What are characteristics of squamous cell carcinoma?

Answer 5

CCCP

Centrally located

Cavitary lesions

hyperCalcemia

Pancoast syndrome

Question 6

What is pancoast syndrome and in what type of lung cancer is it found in?

Answer 6

PANCOAST SYNDROME: tumor at superior sulcus of lung (apex)

1. shoulder pain
2. Horner’s syndrome (miosis, ptosis, anhydrosis)
3. hand/arm muscle atrophy

Question 7

Which cancers can be detected by sputum cytology?

Answer 7

centrally located tumors

Question 8

Describe characteristics of small cell “OAT CELL” carcinoma

Answer 8

SVC (superior vena cava) syndrome: this happens when the tumor blocks the superior vena cava

1. dilated neck veins
2. facial plethora
3. prominent chest veins

SIADH/hyponatremia

Cushings

Lambort Eaton Syndrome: anti-bodies against Ca2+ gated channels causes a weakness similar to myasthenia gravis except:

weakness improves w/continued use unlike in Myasthenia Gravis

Question 9

Which lung cancer will present with METS most likely?

Answer 9

small cell “OAT CELL”