lung cancer: what mds and nurses need to know
TRANSCRIPT
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Necessary Rules about
Lung CancerMDs and Nurse Practitioners Needto Know
Marcos Nascimento, MDUCF Voluntary Professor
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BLAH
BLAH
BLAH
BLAH
BLAH
BLAH
BLAH
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General Concepts
AboutLung
Cancer
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General Concepts Lung Cancer
• Leading death cause from cancer• 90% Smoking related• ALL LC are associated w Smoking• Nonsmoker = Adenocarcinoma• Smokers = 10 times higher risk than
Nonsmokers• Smoking Cessation decreases the risk, but
NEVER to a Non Smoker!• No screening tests
N Engl J Med 2008, 359: 1367-1380
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Bronchogenic
Lung Types
Cancer
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Bronchogenic LUNG CANCER TYPES
1. Small Cell ©• Para neoplastic Syndromes SIADH Cushing Syndromes Peripheral neuropathy/ Dementia Eaton - Lambert Syndrome2.Squamous © PTH Like Hormone
Mayo Clin Proc 2008; 83: 584- 594 / J of Clin Oncol 2007; 25: 561-570
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Bronchogenic LUNG CANCER TYPES
3. Large Cell (P)
4. Adenocarcinoma (P)
- Bronchoalveolar Carcinoma
*** Pulmonary Solitary Nodule
Mayo Clin Proc 2008; 83: 584- 594 / J of Clin Oncol 2007; 25: 561-570
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LEARN
LungPRESENTATIONS
Cancer
& Watch About
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Bronchoalveolar Carcinoma Presentation
1. Cough ( Most Common)2. Weight Loss/ Dyspnea3. Hemoptysis; 4. Hoarseness 5** Recurrent Pneumonia6. SVC Syndrome7. Pancoast Syndrome8. Horner Syndrome9. Effusion
Mayo Clin Proc 2008; 83: 584- 594
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LungCancerHow Diagnosis ?
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Lung Cancer Diagnosis
• Sputum Cytology• Bronchoscopy for Central “S” Lesions• Needle Biopsy for peripheral Lesions• Mediastenoscopy • Cytology for Pleural Effusions
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Necessary
Lung CancerMANAGEMENT AFTER DIAGNOSIS
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MANAGEMENT QUESTIONS AFTER LC DIAGNOSIS:
• Is the LC Ressectable?1. Thorax CT2. MRI3. PET Scan• If the LC is ressectable, is the patient a surgical
candidate?1. PFTs: FEV1> 50%?• Remember: Many LC are also COPD patients
Lung Cancer screening results: Easily Misunderstaood. Mayo Clin Proc 2007; 82: 14-15 / BTS Guidelines on the selection of patients with Lung Cancer for surgery. Thorax 2001; 56: 89-108
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RULES5
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In LUNG CANCER
FORCREATINGCHANGING
WORLD
RULES5
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RU
LES
GENERAL CONCEPTS LUNG CANCER
LUNG CANCER HISTOLOGIC TYPES
LUNG CANCER PRESENTATIONS
LC DIAGNOSIS
LUNG CANCER MANAGEMENT
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prioritize organize mobilize
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Annotated Bibliography
Clinical Guidelines:• Alberts WM, American College of Chest Physicians.
Diagnosis and management of lung cancer. ACCP evidence- based guidelines. Chest 2007; 132: 1S- 422S
Screening • Survival of patients with stage I Lung Cancer detected of
CT screening. N Engl J Med 2006, 355: 1763-1771
Smoking• Wilson JF. In the Clinic. Smoking Cessation. Ann
Intern Med 2007; 146:ITC2-1 – ITC2-16
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www.pulmaosa.com.br
THANK YOU
Dr. Marcos Nascimento, MdUCF Voluntary Professor