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CPD: Lung Cancer

If you die 5 years and 1 day after a cancer diagnosis, what are you?

Answer: a cancer survivor.

What two medical conditions require immediate intervention on the part of the general practitioner?
meningitis and pneumonia

"Cancer is a process, not a tumor". --Dr Thom

Overall cancer odds: 1/3 of US women and 1/2 of US men will have cancer, odds are increasing, in 75 years everybody will have cancer.

Why do people smoke?
to palliate a mental/emotional issue

What kind of cancer needs immediate treatment because of the very poor prognosis?
pancreatic

What other cancers have very low survival rates?
Ovarian and colon

How long do average breast cancer survivors live?
about 10-12 years after the diagnosis, die of cancer

How does one get the cancer miasm?
by being born to a mother who has cancer while she is pregnant with you

What increases in the first two years after quitting smoking?
the risk of lung cancer--specifically for those who do not quit because they want to

What are the three simultaneous components of cancer process?
--depressed immune system
--depression of at least one of the four emunctories, esp the liver, also lung, kidneys, skin
--emotional component including strong denial

When a person has an obvious mental-emotional problem, what does Dr Thom recommend?
a chest xray

What makes dying easier?
have a purpose for being

If you see a solid lesion on an xray, what % of the time is it cancer?
15-50% is CA esp if pt is over 50
10% benign
10% TB granuloma
10% histoplasmosis
5% coccidiomycosis
5% cysts
in pt under 30 has 1% chance of being cancer

Where are metastasies often found?
breast, stomach, pancreas, colon, thyroid, prostate, kidney, thyroid, cervix, rectum, testis, bone

Adenocarcinoma = 35-40% of all lung cancers, bronchoalveolar is a subtype (solitary peripheral nodule, mutlfocal dz, rapidly progressing pneumonic form), usu peripheral, clubbing, hypertrophic pulmonary osteoarthorpathy, Trousseau syndrome of hypercoagulability, weigh loss when advanced, cough & dyspnea, also pleural effusoin and severe pain dt infiltration of pleura and chest wall

Squamous cell carcinoma = 25-30%, usu central, cough, dyspnea, atelectasis, post-obstructive pneumo, wheezing, hemotpysis, HYPERCALCEMIA dt parathyroid-like hormone production

Large cell carcinoma = 10-15%, usu peripheral, cough & dyspnea, also pleural effusoin and severe pain dt infiltration of pleura and chest wall

How do lung cancer pts usually present?
with a swollen lymph node (early)
with a cough/hemoptysis (late)

How is cancer often found?
accidentally on an xray

superior sulcus tumors = can compress brachial plexus

PE findings: wheeze over tumor, enlargement of axillary and surpaclaviular nodes, enlarged liver, dullness to percussion with large tumor, change in breath sounds.

DX: xray shows opaque mass, CT, TNAB (transthoracic needle aspiration biopsy of lung nodule), cytology of sputum for toxi cells, high serum calcium (w/ metastasis esp), bronchoscopy and biopsy

Course: less than 10% survive 5 yeasr, if untreated survive 9 months

Comments

( 3 comments — Leave a comment )
neptunia67
Nov. 10th, 2008 08:20 pm (UTC)
I thought that was gonna be the answer.
liveonearth
Nov. 10th, 2008 11:32 pm (UTC)
It's enough to make a person turn cynical--if we weren't already.
neptunia67
Nov. 11th, 2008 02:27 pm (UTC)
Yeah. Exactly.

I swear, it's the food.

And all the other toxins we're constantly exposed to. But the food is a biggie.
( 3 comments — Leave a comment )

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