27.cancer Bronhopulmonar

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CANCER BRONHOPULMONAR:

CARACTERISTICI: tuse, dispnee, hemoptizie, anorexie, scadere ponderala.


CLASIFICARE HISTOLOGICA.:
CARCINOM CU CELULE SCUAMOASE,
ADENOCARCINOM,
CARCINOM CU CELULE MICI,
CARCINOM CU CELULE MARI.

SDR PARANEOPLAZICE :
1. Endocrine: sdr.Cushing, ginecomastie, hipercalcemie;
2. Osos: degete hipocratice;
3. Neuromuscular: miastenie, dermatomiozita,
4. Neuropatie periferica;
5. Cardio-vascular: tromboflebita, endocardita nebacteriana;
6. Hematologie: anemie, CID, eozinofilie, trombocitoza;
7. Cutanat: acantosis nigricans.
5% = sdr.de VCS, sdr.Claude Bernard Horner, sdr. Pancoast Tobias, paralizie de nerv
frenic, nerv laringeu.
PARACLINIC
Rx sau CT + mase tumorale care cresc progresiv, infiltrate, atelectazii, cavitati,
interesare pleurala;
citologic: (sputa, lichid pleural) - confirma dg.;
complicatii: sdr de VCS, paralizie de nerv frenic, laringeu.
TRATAMENT
Chirurgie de electie cu exceptia: metastazelor extratoracice, tumora la nivelul traheei,
paralizie nerv laringeu, frenic, sdr.VCS, alterarea functiei pulmonare, cancer cu celule
mici = chimioterapie asociata, radioterapie in scop simt; std.II-III chirurgie urmata de
chimioterapie (3 droguri) dupa rezectii complete.

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