Diagnostic and staging evaluation of lung cancer
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Imaging: CT w/ contrast of chest & abd/pelvis to assess for mets (adrenal, liver, bones).
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PET-CT more Se than CT alone for detecting mediastinal and distant mets as well as
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bone mets (NEJM 2009;361:32).
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Brain MRI for all Pts except stage IA.
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Pathology: via bronchoscopy (central lesions) or CT-guided needle bx (peripheral lesions or accessible sites of suspected metastasis);
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mediastinoscopy (LN bx / eval), VATS (eval. of pleural peripheral lesions), thoracentesis if pleural effusion (cytology).
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Genetics of Diagnostic and staging evaluation of lung cancer
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PFTs w/ quant V/Q if Rx includes resection; need 30% nl predicted lung fxn after resection
Explain by ChatGPT
- to avoid morbidity.
Diagnostic and staging evaluation of lung cancer
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Staging of lung cancer: Imaging: CT w/ contrast of chest & abd/pelvis to assess for mets (adrenal, liver, bones). PET-CT more Se than CT alone for detecting mediastinal and distant mets as well as bone mets (NEJM 2009;361:32). Brain MRI for all Pts except stage IA. Pathology: via bronchoscopy (central lesions) or CT-guided needle bx (peripheral lesions or accessible sites of suspected metastasis); mediastinoscopy (LN bx / eval), VATS (eval. of pleural peripheral lesions), thoracentesis if pleural effusion (cytology).
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Genetics of Diagnostic and staging evaluation of lung cancer: PFTs w/ quant V/Q if Rx includes resection; need 30% nl predicted lung fxn after resection to avoid morbidity.
窩的英文不太好
- 避免發病。
肺癌的診斷和分期評估
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肺癌分期:影像學:胸部和腹部/骨盆對比 CT 以評估代謝物(腎上腺、肝臟、骨骼)。 PET-CT 在檢測縱隔和遠處轉移以及骨轉移方面比單獨使用 CT 更有效 (NEJM 2009;361:32)。除 IA 期以外的所有 Pts 的腦部 MRI。病理:經支氣管鏡檢查(中心性病變)或CT引導下針吸(周圍性病變或疑似轉移的可及部位);縱隔鏡檢查(LN bx / eval),VATS(胸膜周圍病變的評估),胸腔積液時的胸腔穿刺術(細胞學)。
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肺癌診斷和分期評估的遺傳學:如果 Rx 包括切除,則 PFTs w/ quant V/Q;切除後需要 30% nl 預測肺 fxn 以避免發病。