Week 4 - Breathlessness and weight loss in a 58 year old man Flashcards
What other information would you like from the history? What will you look for on examination?
What are the possible diagnoses?
What investigations will you order?
What does the chest X-ray show? How are you going to manage this patient?
What do these CT scans show?
What are the possible causes for his confusion? What would you like to do?
Some serum biochemistry had been performed earlier that day. What is the problem and what would you like to do now?
Epidemiology of Lung Cancer?
Lung cancer - presentation?
Epidemiology of Lung cancer (Bronchial carcinoma, Bronchogenic carcinoma)?
Incidence:
- Second most common cancer
- Leading cause of cancer death worldwide
Aetiology of Lung cancer (Bronchial carcinoma, Bronchogenic carcinoma)? = 3
WHO classification of lung cancers?
Non-small cell lung cancer (NSCLC)
1. Lung adenocarcinoma
2. Lung squamous cell carcinoma (SCC)
3. Large cell carcinoma
Lung neuroendocrine tumors
1. Small cell lung cancer (SCLC)
2. Large cell neuroendocrine carcinoma
3. Bronchial carcinoid tumour
What is Horner’s Syndrome?
Horner syndrome: Horner syndrome is characterized by ipsilateral miosis, partial ptosis, and anhidrosis. These features may be due to a central lesion affecting the hypothalamus or first neuron (e.g., brainstem stroke, cervical spine injury, anatomical malformations, demyelinating disease), a preganglionic/second neuron lesion (e.g., Pancoast tumor, trauma, lymphadenopathy, carotid artery lesion), or a postganglionic/third neuron lesion (e.g., internal carotid dissection, tumor, herpes zoster infection).
What is a Pancoast tumour?
Clinical features of lung cancer?
Most common sites of mets of lung cancer?
Clinical features of the paraneoplastic syndromes of lung cancer?
Lung Cancer - Diagnosis?
Lung Cancer - Treatment?
Lung Cancer - Prognosis?
