Lung Cancer Basic Principles
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Questions and Answers

What age group is most commonly affected by lung cancer in the United States?

  • 40-50 years
  • 30-40 years
  • Over 60 years (correct)
  • 50-60 years
  • Which of the following is the second most frequent cause of lung carcinoma in the US?

  • Environmental toxins
  • Radon accumulation (correct)
  • Cigarette smoke
  • Asbestos exposure
  • What characteristic imaging finding is commonly associated with lung cancer?

  • A vascularized lesion
  • A large, spiculated mass (correct)
  • A well-defined, smooth nodule
  • A homogeneous shadowing pattern
  • Which type of lung cancer is usually not amenable to surgical resection?

    <p>Small cell carcinoma (A)</p> Signup and view all the answers

    What is a common presenting symptom of lung cancer?

    <p>Dyspnea (B)</p> Signup and view all the answers

    Which subtype of lung cancer is characterized by the presence of keratin pearls and intercellular bridges?

    <p>Squamous cell carcinoma (C)</p> Signup and view all the answers

    What is the most common tumor type found in male smokers?

    <p>Squamous cell carcinoma (A)</p> Signup and view all the answers

    Which type of lung cancer is least associated with smoking?

    <p>Carcinoid tumor (B)</p> Signup and view all the answers

    Which subtype of lung cancer is typically located peripherally and may present as pneumonia-like consolidation on imaging?

    <p>Adenocarcinoma (D)</p> Signup and view all the answers

    What is a characteristic feature of small cell carcinoma in lung cancer?

    <p>Poorly differentiated small cells with neuroendocrine differentiation (C)</p> Signup and view all the answers

    Which lung cancer subtype is most commonly associated with central lung locations?

    <p>Small cell carcinoma (C)</p> Signup and view all the answers

    What is the significance of chromogranin positivity in lung tumors?

    <p>Characterizes carcinoid tumors (C)</p> Signup and view all the answers

    In the context of lung cancer, which carcinoma is associated with ‘cannon-ball’ nodules on imaging?

    <p>Metastasis to lung (C)</p> Signup and view all the answers

    What is the defining histological feature of large cell neuroendocrine carcinoma?

    <p>Poorly differentiated large cells without specific features (A)</p> Signup and view all the answers

    Which of the following lung cancers has the potential to cause paraneoplastic syndromes?

    <p>Small cell carcinoma (D)</p> Signup and view all the answers

    What type of lung cancer shows TTF-1 expression by immunohistochemistry?

    <p>Adenocarcinoma (A)</p> Signup and view all the answers

    What causes the clinical sign known as superior vena cava syndrome in lung cancer patients?

    <p>Tumor size leading to vascular compression (D)</p> Signup and view all the answers

    Which of the following lung cancer subtypes is least likely to present as a central mass?

    <p>Adenocarcinoma (C)</p> Signup and view all the answers

    Which subtype of lung cancer is especially known for early metastasis?

    <p>Small cell carcinoma (A)</p> Signup and view all the answers

    Study Notes

    Lung Cancer Basic Principles

    • Leading cause of cancer death: Lung cancer is the most common cause of cancer death in the US, with an average age at diagnosis of 60.
    • Key risk factors: Tobacco smoke, radon, and asbestos are key risk factors.
    • Smoking's role: Smoking is implicated in 85% of lung cancer cases. Cigarette smoke contains over 60 carcinogens.
    • Mutagenic compounds: Polycyclic aromatic hydrocarbons and arsenic in cigarette smoke are particularly mutagenic (cause mutations).
    • Smoking duration and amount: The risk of lung cancer is directly related to the duration and amount of smoking ('pack-years').

    Radon Exposure

    • Radon's origin: Radon is formed by the radioactive decay of uranium, which is present in soil.
    • Indoor accumulation: Radon accumulates in enclosed spaces, like basements.
    • Significant radiation exposure: Radon is a significant source of public exposure to ionizing radiation; it is the second most frequent cause of lung carcinoma in the US.

    Additional Risk Factors

    • Environmental toxins: Asbestos, coal-burning stoves, arsenic, chromium, and nickel increase the risk of lung cancer.
    • Uranium miners: Uranium miners face an increased risk of lung cancer.

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    Description

    This quiz covers crucial concepts related to lung cancer, including its leading causes, risk factors, and the role of smoking. It also discusses radon exposure and its impact on public health. Test your understanding of these key principles and enhance your knowledge on this critical health issue.

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