Respiratory Tumours Flashcards
Where should a chest drain be placed?
5th intercostal space in the mid-axillary line
Does lung cancer cause a transudate or an exudate
Exudate = pleurql effusions caused by changes to the local factors that influence the formation and absorption of pleural fluid
eg Malignancy,
infection etc
What is the difference between a transudate and an exudate
Transudate =
Pprotein <30 g/L
Exudate= protein >30 g/L
What nerve might be affected in a lung cancer causing hoarseness?
Recurrent laryngeal nerve
Invasion of which nerve in lung cancer can cause dysphagia?
Phrenic nerve
What hormone does small cell carcinoma produce?
ACTH
What lung cancer is common in non-smokers?
Adenocarcinoma
Which type of lung cancer is chemotherapy more effective against?
Small cell lung cancer
If a lung cancer is located centrally on a CT scan, what is the best way to obtain tissue for histology?
Bronchoscopy
If a lung cancer is located peripherally on a CT scan, what is the best way to obtain tissue for histology?
Percutaneous FNA/biopsy
When should sputum cytology be used as a test for lung cancer?
In patients with large central lesions where bronchoscopy and other tests are unsafe
Using the TNM system for non-small cell lung cancer staging, what is the most advanced tumour that can still be resected?
T3N1M0
(T3 occasionally may be resectable but T4 invades vital structures. N1 is ipsilateral hilar tumour spread and can still be resected)
Where are the common sites for lung mets?
Liver, adrenal glands, bone and brain
What investigation is performed in patients with symptoms suggestive of metastatic bone disease?
Bone scan
Patients with Stage I or Stage II NSCLC and Stage I SCLC should be considered for curative surgery. True or false?
True