Radiology of Lung Cancer and Staging

Question 1

Describe the CXR investigation of lung cancer

Answer 1

• Lesions often more subtle
• Compare with previous films
• Look at review areas: apices, hila, behind heart and diaphragm

Question 2

Describe the staging process used to plan management of lung cancer

Answer 2

• History/examination
• Performance status
• Pulmonary function

TNM;

• Tumour: size, position, spread
• lymph Nodes
• Metastases: spread to other organs

Question 3

Define Horner’s syndrome

Answer 3

• Constricted pupil (miosis)
• Drooping eyelid (ptosis)
• No facial sweating (anhidrosis)
• Sinking of eyeball into bone cavity (enophthalmos)