Thoracic

Question 0

If there’s any change in character of solitary pulmonary nodule within two years, what’s the next step

Answer 0

CT scan should be performed

Question 1

If a solitary pulmonary nodule is stable for over 2 years, when should follow up be performed

Answer 1

A follow up x-ray should be repeated in one year

Question 2

A doubling time of what indicates increased likelihood of malignancy in solitary pulmonary nodules

Answer 2

Doubling time of 1 month to 1 year

Question 3

What is a Pancoast tumor?

Answer 3

Most commonly a squamous cell cancer that is located in the apical portion of the lung that exhibits neural invasion

Question 4

What are some symptoms of Pancoast tumors (2)?

Answer 4

Radiculopathy causing shoulder pain and hand neuropathy 2/2 C8-T1 compromise, Horner’s syndrome 2/2 invasion of sympathetic chain.

Question 5

Treatment of a Pancoast tumor is

Answer 5

Neoadjuvant radiation

–tumors amenable to resection require resection of multiple ribs with enbloc resection of tumor