Surgical Treatment of Lung Cancer Flashcards
What are you looking for on a chest radiograph to stage lung cancer?
Pleural effusion
Chest wall invasion
Phrenic nerve palsy
Collapsed lobe or lung
What are you looking for in a full blood test to stage lung cancer?
Anaemia
Abnormal LFTs
Abnormal bone profile
What are you looking for in a CT scan to stage lung cancer?
Size of tumour Tumour in the mediastinal nodes Metastatic disease Pleural/pericardial effusion Diaphragmatic involvement
What can be used to stage lung cancer?
MRI Bone scan ECHO CT Full blood test CXR
What surgical procedures can be used to stage lung cancer?
Bronchoscopy
Mediastiniscopy
What is checked in the clinical assessment of a persons fitness for surgery?
Cardiovascular system
Respiratory system
Psychiatry
What are the respiratory function tests used?
Spirometry
Diffusion studies
ABG
Fractionated V/Q scan
What are the cardiac assessments used?
ECG ECHO CT ETT Coronary angiogram
When is surgical treatment carried out?
When there is a firm diagnoses of malignancy
Resection of parietal structures is feasible
What are some reasons for peri-operative death?
Acute respiratory distress syndrome Bronchopneumonia Myocardial infarction Pulmonary thromboembolism Pneumothorax Intrathoracic bleeding
What are the non-fatal complications of lung cancer surgery?
Post thoracotomy wound pain Empyema Bronchopleural fistula Wound infection Arterial fibrillation Myocardial infarction Post-op respiratory insufficiency Gastroparesis/constipation
What are the most common problems with staging of lung cancer?
Collapse of a lobe or lung Presence of another pulmonary node Retrosternal thyroid Adrenal nodule Head CT is not routinely performed pre-op
Which stage is the most commonly operated on?
T3N0
