surgical treatment of lung cancer

Question 1

investigation and staging process used to plan management of lung cancer

Answer 1

use TNM staging process, use chest x ray, PET scan, ECHO, sometimes bone scanning. make sure firm diagnosis

Question 2

history signs of lung cancer

Answer 2

pain esp bony pain, headaches or neurological symptoms including personality change

Question 3

examination signs lung cancer

Answer 3

recurrent laryngeal nerve palsy, brachial plexus palsy, supraclavicular lymph nodes, soft tissue nodules, chest wall masses, pleural or pericardial effusion

Question 4

examination signs lung cancer

Answer 4

recurrent laryngeal nerve palsy, brachial plexus palsy, supraclavicular lymph nodes, superior vena cava obstruction, soft tissue nodules, chest wall masses, pleural or pericardial effusion

Question 5

inoperable versions of lung cancer

Answer 5

phrenic nerve palsy, malignant pleural effusion, chest wall invasion, collapse love or lung, bone metastases

Question 6

respiratory function fitness for surgery tests

Answer 6

spirometry, diffusion studies, ABG on air/ SLV, Fractionated V/Q scan

Question 7

cardiac assessment fitness for surgery

Answer 7

ECG, ECHO, CT scan, ETT, coronary angiogram

Question 8

surgical treatment of lung cancer

Answer 8

curative resection is the goal, remove minimum amount of lung tissue, resection of parietal structures is feasible

Question 9

reasons for preoperative death

Answer 9

ARDS, bronchopneumonia, myocardial infarction, PTE, pneumothorax, intrathoracic bleeding

Question 10

non fatal complications of lung cancer surgery

Answer 10

wound pain, empyema, BPF, infection, AF, MI, constipation