Lung Cancer Basic Principles

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

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

Flashcards

Lung Cancer

Most common cause of cancer mortality in the US. It occurs more frequently in older adults, typically around 60 years old.

Cigarette smoke

A major risk factor for lung cancer, it contains over 60 carcinogens. The more you smoke and the longer you smoke, the higher your risk for lung cancer.

Radon

A radioactive gas formed by uranium decay found in soil and accumulates in confined areas, like basements. It's a leading cause of lung cancer due to exposure to ionizing radiation.

Small cell carcinoma

A type of lung cancer not easily removed by surgery. It is typically treated with chemotherapy and radiation.

Signup and view all the flashcards

Non-small cell carcinoma

A type of lung cancer that is often amenable to surgical removal.

Signup and view all the flashcards

Adenocarcinoma

Lung cancer characterized by glandular structures, mucin production, or TTF-1 expression, often found in the periphery.

Signup and view all the flashcards

Squamous Cell Carcinoma

Lung cancer characterized by keratin pearls, intercellular bridges, and p40 expression, often associated with nonsmoking and female smokers.

Signup and view all the flashcards

Large Cell Neuroendocrine Carcinoma

Lung cancer characterized by poorly differentiated large cells with neuroendocrine features, often found in the central or peripheral regions.

Signup and view all the flashcards

Carcinoid Tumor

A well-differentiated neuroendocrine tumor characterized by nests of cells and chromogranin positivity, often found in the central or peripheral regions; less common in smokers.

Signup and view all the flashcards

Adenocarcinoma in-situ

A type of adenocarcinoma that exhibits columnar cells that grow along preexisting bronchioles and alveoli. It may present like pneumonia on imaging.

Signup and view all the flashcards

Superior Vena Cava Syndrome

A condition caused by obstruction of the superior vena cava, leading to distended neck veins, edema, and blue discoloration of the face and arms.

Signup and view all the flashcards

TNM Staging

TNM staging refers to a system used to categorize cancer based on tumor size, lymph node involvement, and metastasis.

Signup and view all the flashcards

T - Tumor

The T in TNM staging stands for tumor, which refers to the size of the tumor and its local extension.

Signup and view all the flashcards

N - Nodes

The N in TNM staging stands for nodes, which refers to involvement of nearby lymph nodes.

Signup and view all the flashcards

M - Metastasis

The M in TNM staging stands for metastasis, which refers to the spread of cancer to distant organs.

Signup and view all the flashcards

Paraneoplastic Syndrome

A paraneoplastic syndrome, which is a condition associated with cancer but not directly caused by the tumor itself, characterized by hormonal or nervous system disturbances.

Signup and view all the flashcards

Endocrine Paraneoplastic Syndrome

A paraneoplastic syndrome associated with small cell carcinoma, characterized by hormonal disturbances like ADH or ACTH production.

Signup and view all the flashcards

Nervous System Paraneoplastic Syndrome

A paraneoplastic syndrome associated with small cell carcinoma, characterized by nervous system disturbances like Lambert-Eaton myasthenic syndrome.

Signup and view all the flashcards

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.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

Lung Cancer PDF

More Like This

Lung Cancer Risk Factors and Smoking
4 questions
Lung Cancer Risks and Risk Factors
30 questions
Lung Cancer Risk Factors and Etiology
16 questions
Lung Cancer Risk and Genetic Factors
40 questions
Use Quizgecko on...
Browser
Browser