Lecture 2 Lung cancer

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SH stands for
Social History
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Bronchoscopy
A visualisation of the inside of airways
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Stage 1
Cancer is small and in one area of lungs
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Stage 2a
Tumour <5cm and cancer cells in nearby lymph nodes
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Stage 2b
Tumour = 5-7cm and in lymph nodes/tumour in main bronchus/there are two tumours in same lobe
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Stage 3a
Tumour 7cm, cancer cells in lymph nodes in MEDIASTINUM/ tumour >7cm /2 tumours/
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Stage 3b
Tumour is any size and affecting nearby structures in lymph nodes
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Stage 4
Tumour in both lungs/ spread to other area of body
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TNM stands for
tumour node metastasis
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T =
tumour (size)
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n=
node (any cancer cells in lymph node
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m=
metastasis (has cancer spread to other parts of the body)
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t1a
tumour contained within lung <2cm across
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t1b
tumour contained within the lung 2-3cm across
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t2
tumour 3-7cm grown into largest airway
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t3
tumour >7cm or has grown into chest wall/central lining of chest cavity
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t4
tumour has grown into mediastinum/heart
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n0
no cancer in lymph
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n1
cancer in lymph nearest the affected lung
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n2
cancer in lymph in mediastinum on affected lung/just under windpipe
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n3
cancer in lymph node on opposite side of chest
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m0
no signs cancer spread to another lobe of lung or other part of body
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m1a
tumours in both lungs/ fluid around lungs
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m1b
cancer cells in distant parts of body
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What determines treatment
Staging of cancer and cytology
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What is cytology
Study of structure + function of animal cells
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what does tiotropium inhaler do
treats copd- bronchodilator prevents narrowing of airways in lungs
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ipratropium nebuliser
Like tiotropium shorter duration of action and taken several times a day
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Other cards in this set

Card 2

Front

Bronchoscopy

Back

A visualisation of the inside of airways

Card 3

Front

Stage 1

Back

Preview of the front of card 3

Card 4

Front

Stage 2a

Back

Preview of the front of card 4

Card 5

Front

Stage 2b

Back

Preview of the front of card 5
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