Lung Cancer. Lorna Roden – October 2012. A few facts. Accounts for 19% of all cancers 2 nd most common cancer in the UK M ost common worldwide. Most common cause of cancer death in men 2 nd most common cause of cancer death in women after breast cancer
Lorna Roden – October 2012
Royal Cornwall Hospital’s Form for GPs/other clinicians to fill out
Excision for peripheral tumours with no metastatic spread (Stage I/II)
Curative radiotherapy – if respiratory reserve is poor
Chemoradiotherapy – if more advanced disease
Nearly always disseminated
May respond to chemotherapy
Cyclophosphamide, doxorubicin, vincristine, etoposide
A 54-year-old man is investigated for a chronic cough. A chest x-ray arranged by his GP shows a suspicious lesion in the right lung. In the meantime he notices an itchy, burning rash developing on his knuckles and over the last 2 days has found it more difficult to reach the bowls ontop of the highest cupboard in his kitchen.
What is the most likely underlying cause for the rash and other symptoms?
A 63-year-old woman is diagnosed at bronchoscopy with a non-small cell bronchial carcinoma. She is otherwise in good health. Staging CT imaging did not reveal any evidence of metastatic disease. Her surgeon has offered a pneumonectomy but wishes for PET to be undertaken. How does this best further assist in patient management?
Name some of the causes of coin lesions of the lung on CXR…