Seer Training Modules: Site Specific/lung

Front 1

The respiratory tract is divided into two main parts

Back 1

Upper and lower

Front 2

The upper respiratory tract, consists of

Back 2

the nose, nasal cavity and the pharynx

Front 3

The lower respiratory tract consists of

Back 3

the larynx, trachea, bronchi and the lungs

Front 4

The lungs are separated by the

Back 4

mediastinum

Front 5

The terminal parts of the bronchi are the

Back 5

alveol

Front 6

Histology least likely to recur after resection; frequently a central or bronchial lesion

Back 6

Squamous or epidermoid (807_3)

Front 7

Histology usually slow-growing, but can metastasize widely; usually a peripheral lesion

Back 7

Adenocarcinoma (814_3)

Front 8

Histology that is very specific subtype of adenocarcinoma with a distinct characteristic presentation and behavior. Bronchioloalveolar adenocarcinomas arise in the alveolar sacs in the lungs.

Back 8

Bronchioloalveolar (82503)

Front 9

Histology that is also called giant cell or clear cell Other subtypes of adenocarcinoma are acinar, papillary, and mucinous.

Back 9

Large cell carcinoma (80123)

Front 10

Histology that has a specific histologic variant containing both epithelial (squamous) and glandular (adeno-) cells.

Back 10

Adenosquamous carcinoma (85603)

Front 11

Histology that arise from neuroectoderm (which generates supporting structures of lung). Melanomas, sarcomas and lymphomas may also arise in the lung.

Back 11

Carcinoids (824_3)

Front 12

Histology linked to asbestos exposure; usually involves the pleura, not the lung.

Back 12

Mesothelioma (905_3)

Front 13

Histology that is a general term used sloppily to separate small cell from the "non-small cell" types (such as adenocarcinoma, squamous cell carcinoma, large cell, etc.) of carcinomas.

Back 13

Non-small cell carcinoma (80463)

Front 14

A tumor of the apex of lung which invades brachial plexus nerves causing pain in the arm.

Back 14

Pancoast tumor

Front 15

A less invasive tumor of the apex of the lung.

Back 15

Superior sulcus tumor

Front 16

It is a description of where the tumor arose: broncho- (bronchus) and -genic (arising in). More information should be obtained before the morphology is coded.

Back 16

Bronchogenic carcinoma (not a specific cell type)

Front 17

Common metastatic sites of lymphatic spread:

Back 17

Cervical lymph nodes, contralateral lung and contralateral mediastinum

Front 18

Common metastatic sites of hematogenous spread:

Back 18

Brain, bone, liver, adrenal glands, kidney, contralateral lung.

Front 19

glyco-protein which is present in extracts of carcinoma cells

Back 19

CEA

Front 20

Elevated levels of this thyroid hormone occasionally occur with small cell lung cancer; increasing levels may indicate progression of disease

Back 20

Calcitonin

Front 21

An antigen marker for cancers of gynecologic sites, bladder, and lung; nonspecific to ovarian and cancer; elevated levels indicate presence of malignancy; also used to monitor bladder and lung cancer in males.

Back 21

TPA (Tissue Polypeptide Antigen)

Front 22

Patients with this type of cancer are potentially curable with surgery, but largely unresponsive to chemotherapy. Patients with distant metastases from this can be treated palliatively with radiation.

Back 22

Non-small cell lung cancers (squamous, adenocarcinoma and large cell carcinoma

Front 23

Patients with this type of cancer do respond to chemotherapy and radiation, but are usually too far advanced at diagnosis for a surgical cure

Back 23

small cell lung cancer

Front 24

Exploratory surgical procedure in which the chest is opened to inspect the heart, lungs, and mediastinal contents. Thoracotomy does not necessarily include removal of tissue.

Back 24

Exploratory Thoracotomy

Front 25

Surgery of distant site—for example, resection of solitary brain tumor

Back 25

Mediastinotomy (also called median sternotomy or paramediansternotomy)

Front 26

To palliate obstructing lesions

Back 26

Endobronchial Laser Surgery

Front 27

Chemotherapy Commonly Used for Treating Non-Small Cell Lung Cancer

Back 27

Cisplatin, doxorubicin and cytoxan (under clinical evaluation)
Pre-operative Cisplatin and vindesine with or without mitomycin-C (under clinical evaluation)
Carboplatin-containing regimens

Front 28

Chemotherapy Commonly used for Treating Small Cell Lung Cancer

Back 28

All patients should receive combination chemotherapy regardless of the extent of disease.