Pulmão

Question 1

Quem devo rastrear para Ca de Pulmão?

Answer 1

50 a 80 anos
> 20 maços/ano
Cessaram há < 15 anos

Question 2

Como rastrear Cancer de Pulmão?

Answer 2

TCBD - tomografia de tórax baixa dosagem

Question 3

CPNPC Estadiamento - T1

Answer 3

T1 Tumor ≤ 3 cm in greatest dimension

Question 4

CPNPC Estadiamento T1mi

Answer 4

Minimally invasive adenocarcinoma:
≤ 3 cm in greatest dimension)
predominantly lepidic pattern
≤ 5 mm invasion in greatest dimension

Question 5

CPNPC Estadiamento T1a

Answer 5

Tumor ≤ 1 cm in greatest dimension.

A superficial, spreading tumor of any size whose invasive component is limited to the bronchial wall and may extend proximal to the main bronchus also is classified as T1a, but these tumors are uncommon.

Question 6

CPNPC Estadiamento T1b

Answer 6

Tumor >1 cm but ≤2 cm in greatest dimension

Question 7

CPNPC Estadiamento T1c

Answer 7

Tumor >2 cm but ≤3 cm in greatest dimension

Question 8

CPNPC Estadiamento T2

Answer 8

Tumor >3 cm but ≤5 cm
OR
having any of the following features:
(1) Involves the main bronchus, regardless of distance to the
carina, but without involvement of the carina;
(2) Invades visceral pleura (PL1 or PL2);
(3) Associated with atelectasis or obstructive
pneumonitis that extends to the hilar region, involving part or all of the lung

Question 9

CPNPC Estadiamento T2a

Answer 9

Tumor >3 cm but ≤4 cm in greatest dimension

Question 10

CPNPC Estadiamento T2b

Answer 10

Tumor >4 cm but ≤5 cm in greatest dimension

Question 11

CPNPC Estadiamento T3

Answer 11

Tumor > 5 cm but ≤ 7 cm in greatest dimension
OR
directly invading any of the following: parietal pleura (PL3), chest wall (including
superior sulcus tumors), phrenic nerve, parietal pericardium; or separate tumor nodule(s) in the same lobe as the primary

Question 12

CPNPC Estadiamento T4

Answer 12

Tumor >7 cm
OR
tumor of any size invading one or more of the following: diaphragm, mediastinum, heart, great vessels, trachea,
recurrent laryngeal nerve, esophagus, vertebral body, carina; separate tumor nodule(s) in an ipsilateral lobe different from that of the primary

Question 13

CPNPC Estadiamento N1

Answer 13

Metastasis in ipsilateral Peribronchial
and/or ipsilateral
hilar lymph nodes and intrapulmonary nodes, including
involvement by direct extension

Question 14

CPNPC Estadiamento N2

Answer 14

Metastasis in ipsilateral mediastinal and/or subcarinal
lymph node(s)

Question 15

CPNPC Estadiamento N3

Answer 15

Metastasis in contralateral mediastinal, contralateral hilar,
ipsilateral or contralateral scalene, or supraclavicular lymph node(s)

Question 16

CPNPC Estadiamento M1a, b e c

Answer 16

M1 Distant metastasis

M1a
Separate tumor nodule(s) in a contralateral lobe;

tumor with pleural or pericardial nodules or malignant pleural or
pericardial effusiona

M1b
Single extrathoracic metastasis in a single organ (including
involvement of a single nonregional node)

M1c
Multiple extrathoracic metastases in a single organ or in
multiple organs

Question 17

CPNPC Estadiamento - EC IA 1/2/3

Answer 17

T1 a/b/c N0 M0

Question 18

CPNPC Estadiamento - EC IB

Answer 18

T2a N0 M0

Question 19

CPNPC Estadiamento - EC IIA

Answer 19

T2b N0 M0

Question 20

CPNPC Estadiamento - EC IIB

Answer 20

N1 neste!

T1a, T1b, T1c, T2a, T2b N1 M0

T3 N0 M0

Question 21

CPNPC Estadiamento - EC IIIA

Answer 21

N2 neste!

T1a, T1b, T1c, T2a, T2b N2 M0

T3 N1 M0

T4 N0 M0
T4 N1 M0

Question 22

CPNPC Estadiamento - EC IIIB

Answer 22

N3 neste!

T1a, T1b, T1c, T2a, T2b N3 M0

T3 N2 M0

T4 N2 M0

Question 23

CPNPC Estadiamento - EC IIIC

Answer 23

T3 N3 M0

T4 N3 M0

Question 24

CPNPC Estadiamento - EC IV A

Answer 24

Any T Any N M1a
Any T Any N M1b

Question 25

CPNPC Estadiamento - EC IV C

Answer 25

Any T Any N M1c

Question 26

Estadiamento invasivo do mediastino
Deve ser feito em …

Answer 26

todos os casos, exceto em tu periféricos, < 3 cm, com PET ou TC sem evidência de acometimento linfonodal (< 10mm)
Objetivos: confirmação histo / citológica