We discussed a case of an elderly woman with extensive smoking history, who presented with chronic dry cough, chronic left upper arm pain, a remote episode of hemoptysis, and subacute dyspnea on exertion, which were all not improved despite a course of antibiotics, found to have a large R pulmonary mass due to Small Cell Lung Cancer.
TYPES OF LUNG CANCER
- Non-small cell lung cancer (80-90%)
- Adenocarcinoma
- Squamous cell carcinoma
- Large cell carcinoma
- Staging based on TNM cancer staging
- Small cell lung cancer (10-20%)
- One traditional way to stage is based on limited disease vs extensive disease.
- Limited disease: tumor confined to the ipsilateral hemithorax and regional nodes, able to be confined to a single XRT port
- Extensive disease: tumor beyond the boundaries of limited disease, including distant metastasis, malignant pleural or pericardial effusion, and contralateral lymphadenopathy
- One traditional way to stage is based on limited disease vs extensive disease.
Check out the latest 2021 USPSTF guidelines regarding lung cancer screening:
SCVMC IM Chief Resident Blog 