Lung Neoplasms

Lung Neoplasms

 
I.                    Lung cancer
a.       Small cell lung cancer –25%; centrally located; can cause SVC syndrome, SIADH, ectopic ACTH,
                                                               i.      Chemotherapy is the usually treatment since they are unresectable when diagnosed.
b.      Non-small cell lung caner—75%;
                                                               i.      Types:
1.      Large cells: peripheral
2.      Adenocarcinoma: peripheral; lowest association with smoking.
3.      Squamous cell carcinoma: central
                                                             ii.      Surgery best option. Radiation along with surgery. Chemo uncertain benefit.
II.                 Mediastinal Masses
a.       Anterior: thyroid, teratogenic, thymoma, lymphoma
b.      Middle: lung cancer, lymphoma, aneurysms, cysts, Morgagni hernia (an opening in the right side of the diaphragm. One of 2 congenital hernias)
c.       Posterior: neurogenic tumors, esophageal masses, enteric cysts, aneurysms, Bochdalek’s hernia (the other congenital hernia… on left side).

 

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