Difference between revisions of "Lung tumours"

Lung tumours (view source)

897 bytes added , 23:32, 24 September 2015

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 **Adenocarcinoma is usually periperal, i.e. smaller airways.
 **Squamous cell carcinoma and small cell carcinoma are typically central.
+===Margins in lung===
+Margin in pneumonectomy specimens include:
+*Vessels (artery, vein).
+*Airway (bronchus).
+*Soft tissue (lymphatics, fibrous tissue and lymph nodes).<ref>{{Cite journal  | last1 = Sakai | first1 = Y. | last2 = Ohbayashi | first2 = C. | last3 = Kanomata | first3 = N. | last4 = Kajimoto | first4 = K. | last5 = Sakuma | first5 = T. | last6 = Maniwa | first6 = Y. | last7 = Nishio | first7 = W. | last8 = Tauchi | first8 = S. | last9 = Uchino | first9 = K. | title = Significance of microscopic invasion into hilar peribronchovascular soft tissue in resection specimens of primary non-small cell lung cancer. | journal = Lung Cancer | volume = 73 | issue = 1 | pages = 89-95 | month = Jul | year = 2011 | doi = 10.1016/j.lungcan.2010.11.002 | PMID = 21129810 }}</ref>
+Note:
+*The traditional teaching is there are only hollow structure margins (artery, vein, airway).{{fact}}
 ===Management of primary lung cancer===
-Management is currently determined by categorization into:
+Management in the past was determined by categorization into:
 *Small cell cancer.
 *Non-small cell cancer (includes adenocarcinoma, squamous cell carcinoma, large cell carcinoma).