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).