Pulmonary Neoplasm Flashcards
Lung cancer that arises from the mucous glands or from any epithelial cell within or distal to the terminal bronchioles.
Adenocarcinomas
(most common lung cancer)
Lung cancer that arises from the bronchial epithelium and often presents as intraluminal masses.
Squamous Cell Carcinoma
Lung cancer that presents as central or peripheral masses. Aggressive with rapid doubling times.
Large Cell Carcinoma
Lung cancer that often involves regional or distant metastasis on presentation. Most aggressive form of lung cancer.
Small Cell Carcinoma
What is the Lung Cancer Survival Rate after 5 years or more?
18%
What are some signs and symptoms of Metastatic Lung Cancer?
Weight Loss (10+ lbs.)
Pain
Neurologic Symptoms
Lymphadenopathy (1+ cm)
Hoarseness
SVC Syndrome
What lung cancer test has the greatest diagnostic yield?
CT-Guided Biopsy
(can cause pneumothorax)
What can be used to establish a diagnosis of lung cancer in patients with malignant pleural effusions?
Thoracentesis
What is the preferred method for Lung Cancer Screening?
Low-dose Chest CT
(better at early stage)
What are the Criteria for Lung Cancer Screening with a Low-dose Chest CT?
55 - 80 Years Old
Current Smoker or Quit Smoking in the last 15 years
30 Pack Year or Greater
What does the TNM International Staging System evaluate?
T - Tumor size and location of the primary tumor
N - Nodal metastases presence and location
M - Distant metastases presence or absence
Cancer is that is confined to lung tissue with no involved lymph nodes. (Staging)
Stage I
Cancer that is confined to lung tissue with involved surrounding lymph nodes or lymph nodes within the chest cavity. (Staging)
Stage II
Cancer that is confined to lung tissue or involves adjacent resectable structures and has involved lymph nodes within the mediastinum. (Staging)
Stage III
Any lung cancer that has spread to the opposite lung or any other organ or is disseminated within the pleural fluid. (Staging)
Staging IV
What is the preferred treatment for Small-Cell Lung Cancer?
Chemotherapy
(Cisplatin + Etoposide)
What is the preferred treatment for Non-Small Cell Lung Cancer?
Surgical Resection
Ill-defined margins or a lobular appearance of a pulmonary nodule suggest what?
Malignancy
What should be done when there is any suspicious solitary pulmonary nodule?
Chest CT
What is the name for a solitary pulmonary nodule that is less than 3 cm?
Coin Lesion
What is the most helpful tool when managing Mediastinal Masses?
CT Scan
