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Lung, Primary Malignancies

Run Qiang Gan, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Primary lung cancers are the leading cause of cancer-related deaths in the United States (estimated 130,180 deaths in 2021 which accounts for 25%% of all cancer-related deaths). Lung...

DIAGNOSIS

HISTORY

  • May be asymptomatic for most of course

  • Respiratory

    • Cough (new or change in chronic cough)

    • Wheezing and stridor

    • Dyspnea

    • Hemoptysis

    • Pneumonitis (fever and productive cough)

  • Constitutional

    • Malai...

TREATMENT

Common treatment for early stage cancers include surgical removal of tumor, chemo and radiation. For later stage cancers, chemo and radiation are usually combined with newer targeted molecul...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Visits every 3 to 6 months in the first 2 years after surgery with physical exam and CT scan 

PATIENT EDUCATION

REFERENCES

1
US Preventive Services Task Force, Krist AH, Davidson KW, et al. Screening for Lung Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2021;325(10):962-970. 

CODES

ICD10

  • C34.90 Malignant neoplasm of unsp part of unsp bronchus or lung

  • C34.10 Malignant neoplasm of upper lobe, unsp bronchus or lung

  • C34.30 Malignant neoplasm of lower lobe, unsp bronchus or lung

  • C3...

CLINICAL PEARLS

  • NSCLC (>85% of all lung cancers); normally originate in periphery

    • Adenocarcinoma (~40% of NSCLC); SCC (~25% of NSCLC); Large cell (~10% of NSCLC)

  • SCLC centrally located, early metasta...

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