Lung

CANCER
Pulmonary Department
Faculty of Medicine
Universitas Islam Sumatera Utara 2001
Lung Cancer Bronchial
Carcinoma

ANATOMICAL
Pulmonary Department
Faculty of Medicine
Universitas Islam Sumatera Utara 2001
 DIAGNOSTIC AND
MANAGEMENT

LUNG
CANCER
Pulmonary Department
Faculty of Medicine
Universitas Islam Sumatera Utara 2001
 Lung cancer

•Men
Insidence
•Smokers
•40
•Environtmet/Occupation
Pulmonary Department
Faculty of Medicine
Universitas Islam Sumatera Utara 2001
 Lung cancer

•Fatigue
Clinical •Decreased appetide
findings •Weight loss
•Cough
•Dyspnea
Pulmonary Department •Hemoptysis
Faculty of Medicine

•Pain
Universitas Islam Sumatera Utara 2001
 Lung cancer

Management
•Diagnostic
•Staging
•Decision
•Evaluation
Pulmonary Department
Faculty of Medicine
Universitas Islam Sumatera Utara 2001
 Lung cancer

Diagnostic •Radiology examination

•Cytology of sputum
•Bronchoscopy examination
•Transthoracal biopsy

Pulmonary Department
•Tansbronchial biopsy
Faculty of Medicine
Universitas Islam Sumatera Utara 2001
 Lung cancer

•Mass
Radiology
examination •Atelectasis
•Pneumonitis
•Pleural effusion
Pulmonary Department
Faculty of Medicine
Universitas Islam Sumatera Utara 2001
 Lung cancer

Bronchoscopy
examination Diangnostic Staging
•Mass •Distance from carina
•Inlammation

Pulmonary Department
Faculty of Medicine
Universitas Islam Sumatera Utara 2001
 Lung cancer

Diagnostic
•Adeno Ca
•Sqamous cell Ca
•Large cell Ca
•Small cell Ca
Pulmonary Department
Faculty of Medicine
Universitas Islam Sumatera Utara 2001
 Lung cancer
Staging

•Bronchoscopy
•Thorax scann
•Nodule biopsy
•Bone scann / bone survey
•Scann of the other organ
Pulmonary Department
Faculty of Medicine
Universitas Islam Sumatera Utara 2001
 Lung
cancer

Staging
T N M system
(UICC)

•Tumor
•Nodule
Pulmonary Department
Faculty of Medicine
Universitas Islam Sumatera Utara 2001
•Metastasis
 TNM SUBSETS BY STAGE

•Stage I T1 N0 M0 , T2 N0 M0
•Stage II T1 N1 M0 , T2 N1 M0
•Stage IIIa T1 N2 M0 , T2 N2 M0 , T3 N2 M0
T3 N0 M0 , T3 N1 M0
•Stage IIIb T4 N0 M0 , T4 N1 M0 , T4 N2 M0
T1 N3 M0 , T2 N3 M0 , T3 N3 M0 ,
T4 N3 M0
•Stage IV Any T, Any N , M1

Pulmonary Department
Faculty of Medicine
Universitas Islam Sumatera Utara 2001
 Decision

•Stage I Operable
Curative Chemetherapy
•Stage II
Curative Radiotherapy
•Stage IIIa

•Stage IIIb
Palliative
•Stage IV Chemotherapy
Palliative
Radiotherapy
Pulmonary Department
Faculty of Medicine
Universitas Islam Sumatera Utara 2001
 THANK
YOU
Pulmonary Department
Faculty of Medicine
Universitas Islam Sumatera Utara 2001