Term
| What type of lung cancers is pancoast syndrome most seen in? |
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Definition
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Term
| What four main symptoms are found in pancoast syndrome? |
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Definition
brachial plexus involvment
rib pain
horner's syndrome
anhidrosis (lack of sweating) |
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Term
| What is the paraneoplastic sign found in squamous cell carcinoma? |
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Definition
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Term
| What lung cancer type is cushing syndrome seen in? |
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Definition
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Term
| What lung cancer type is Lambert-eaton seen in? |
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Definition
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Term
| If a new incidental nodule is found on XRAY and is less than 1 cm, what must be done next? |
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Definition
| look at old xray and if nothing found on old xray follow up in 6-12 months |
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Term
| What is limited small cell carcinoma? |
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Definition
| carcinoma within the thorax |
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Term
| Which form of small cell carcinoma is curable with chemoradiation? |
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Definition
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Term
| What is the treatment goal for extensive small cell carcinoma? |
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Definition
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Term
| Why do you not screen for lung cancer? |
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Definition
| because it tends to overdiagnois and cant detect the slow growers |
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Term
| Under what conditions do PET scans lead to false - in lung cancer staging? (3) |
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Definition
hyperglycemia
low metabolic tumors
when the tumor is below threshold that it can see |
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Term
| Under what conditions can PET scans lead to false positive in staging? |
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Definition
| TB, sarcoidosis and fungi |
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Term
| What stages of non-small cell carcinoma are treated with surgery with a goal of cure? |
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Definition
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Term
| Under what extenuating circumstance do you still do surgery when you have a stage IV lung cancer? |
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Definition
| when it is T1-2/N0 with brain mets |
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Term
| In stage IIIb what do you do prior to surgery for better chance of cure? |
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Definition
| chemoradiation to shrink the tumor before removing it |
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Term
| What is done for stage IV non small cell carcinoma patients? |
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Definition
| pallative care with chemo to improve survival and quality of life |
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Term
| What does performance status measure and what is the general scale? |
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Definition
measures potential response to surgery
3 or greater poor response
0 no limitation, asymptomatic
3 >50% time in bed
4>100% in bed
5 dead |
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Term
| How many chemo drugs is best? |
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Definition
| two better than one and three |
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Term
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Definition
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Term
| What drug is a monoclonal antibody against VEGF? |
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Definition
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Term
| What cancer type can Bevacizumab not be used for and why? |
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Definition
| squamous carcinoma b/c associated with major hemorrhage |
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Term
| What are two important adverse effects of bevacizumab? |
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Definition
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Term
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Definition
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Term
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Definition
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Term
Which cancer drug do you want to combine with chemotherapy to get proven benefit?
Bevacizumab or Erlotib |
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Definition
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Term
| What are two side effects of Erlotib? |
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Definition
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Term
| What are 4 clinical manifestations of vena cava syndrome? |
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Definition
headache
venous distention
SOB
swelling of the face |
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Term
| If you highly suspect lung cancer and both chest xray and CT are negative, what is the next best test? |
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Definition
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