PULMONARY NEOPLASMS QUESTIONS AND ANSWERS A+
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What is the risk of a solitary pulmonary nodule (SPN) being malignant? If it is not
cancer, what is it likely to be?
- about half are malignant
- non malignant = are due to infectious granulomas such as fungal infections or TB.
What are solitary pulmonary nodule (SPN) also known as?
coin lesions
***What are worrisome history and radiologic features of a SPN?
History:
- Age over 50, smoking
- + FH
- asbestos, coal and silica exposure
Radiographic features:
- larger size (≥ 1 cm)
- irregular borders
- non-reassuring calcifications
- dense, rapid growth
T or F: only large SPN nodules require f/u?
F: All nodules require follow up
***What studies and follow-up are indicated for a SPN?
- new finding and <1 cm = serial CTs
- new finding and >1cm = CT followed by bronchoscopy or FNAB. If unable FDG-PET
scan
When is surgical excision of the nodule indicated?
- any growth on serial imaging tests
- likelihood of malignancy is high
- FDG-PET is positive
What are the trends in the US and worldwide for lung cancer?
Most common type of cancer worldwide
**Lung cancer is now the leading cause of death due to cancer in women, it is no longer
breast cancer
What are the two main types of lung cancer?
Which is the most common?
Small cell and non-small cell
MC: Non-Small Cell Lung Cancer
What symptoms are associated with lung cancer?
GRADED .Buy Quality Materials!
What is the risk of a solitary pulmonary nodule (SPN) being malignant? If it is not
cancer, what is it likely to be?
- about half are malignant
- non malignant = are due to infectious granulomas such as fungal infections or TB.
What are solitary pulmonary nodule (SPN) also known as?
coin lesions
***What are worrisome history and radiologic features of a SPN?
History:
- Age over 50, smoking
- + FH
- asbestos, coal and silica exposure
Radiographic features:
- larger size (≥ 1 cm)
- irregular borders
- non-reassuring calcifications
- dense, rapid growth
T or F: only large SPN nodules require f/u?
F: All nodules require follow up
***What studies and follow-up are indicated for a SPN?
- new finding and <1 cm = serial CTs
- new finding and >1cm = CT followed by bronchoscopy or FNAB. If unable FDG-PET
scan
When is surgical excision of the nodule indicated?
- any growth on serial imaging tests
- likelihood of malignancy is high
- FDG-PET is positive
What are the trends in the US and worldwide for lung cancer?
Most common type of cancer worldwide
**Lung cancer is now the leading cause of death due to cancer in women, it is no longer
breast cancer
What are the two main types of lung cancer?
Which is the most common?
Small cell and non-small cell
MC: Non-Small Cell Lung Cancer
What symptoms are associated with lung cancer?
