Lung nodule update talk

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Form to be completed before the lung nodule uptake talk.

Most lung nodules

Are malignant and should be removed

Cause symptoms such as chest pain, shortness of breath

Can be ignored

Are often benign but need assessment

Need a biopsy

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Lung cancer is curable up till

Stage 1

Stage 2

Stage 3

Stage 4

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Patients with clinically and radiologically suspicious lung nodule should be referred to

Cardiothoracic surgeon for surgical removal

Nearest emergency department

Radiation oncologist for treatment

Radiologist for a CT guided biopsy

Respiratory physician for assessment

Other:

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Optimal lung cancer staging requires

CT chest abdomen and pelvis

PET scan

PET-CT scan

EBUS Bronchoscopy

PET-CT and EBUS bronchoscopy

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Please select the answer that best fits. For Lung nodule evaluation FDG PET is useful for

Determining if nodule is benign

Presence of occult lymph nodal disease

Presence of extrathoracic metastatic disease

Fitness for surgery

Brain metastasis

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Thoracic lymph node metastastasis is best assessed by

CT chest with contrast

FDG PET scan

Mediastinoscopy

Endoscopic ultrasound

Endobronchial ultrasound bronchoscopy

Surgical resection

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Treatment of small lung nodules proven to be early stage lung cancers includes

Observation

Chemotherapy

Immunotherapy

Lobectomy

Stereotactic body radiotherapy

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