![Physical Examination [Vital Sign] BP: 168/99mmHg, HR: 98 /min, RR: 20 /min, Temp: 37.5 [General appearance] Not so ill-looking appearance [Consciousness level] Alert [HEENT] Isocoria: + L/R: + [Chest] Regular heart beat Clear breath sound with crackle Rt. lung Expansion: Symmeteric](https://image.slidesharecdn.com/case-110512194856-phpapp01/85/Case-6-320.jpg)
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Case
- 1. CASE REPORT PK 1 譟 企
- 2. O F/68 Chief Complaint Cough Onset : 2010 10
- 3. Present Illness Hypertension 朱 medication 譴 襦 2010 10 蟆暑 襷襯瑚鍵豺 伎 朱 語 2011 3 語 襷 覲 伎 豐 CXR Rt. lung mass 覦蟆 further evaluation 覲語 伎
- 4. History PHx DM/ HTN : -/ + SHx Alcohol : - Smoking : - FHx None Drug Hx 螻 覲旧譴 Allergy None
- 6. Physical Examination [Vital Sign] BP: 168/99mmHg, HR: 98 /min, RR: 20 /min, Temp: 37.5 [General appearance] Not so ill-looking appearance [Consciousness level] Alert [HEENT] Isocoria: + L/R: + [Chest] Regular heart beat Clear breath sound with crackle Rt. lung Expansion: Symmeteric
- 7. 油
- 8. 油
- 9. 油
- 10. 油
- 11. 油
- 12. 油
- 13. Problem list #1. Cough #2. Sputum #3. Dyspnea #4. Rt. lung mass in radiography #5. Crackle sound #6. Respiratory alkalosis #7. Hypertension #8. Low Hb and Hct #9. High glucose level
- 14. Diagnostic Plan CEA(carcinoembryonic antigen) Sputum cytology Chest CT, Abdomen CT Fiberoptic bronchoscpoic biopsy PFT Coagulation test EKG PET CT Bone scan FPG, OGTT, random plasma glucose teset
- 19. Staging The cancer is larger than 7cm T3 Lymphandenopathy only in right interlobar and hilar N1 No metastasis M0 Clinical stage : Stage IIIA
- 20. Treatment Plan Mediastinal lymph node 豺覯 蟆曙 蟆曙 螳 RT 蟠ロ讌 cisplatin 5 譟伎 レ 覿 RTx 螻 Mediastinal lymph node 危 蟆曙 (N2) Complete resection 覿螳ロ 蟆曙 CCRT(concurrent chemoradiation therapy) 螳 一 豢豌
- 22. TNM stage
- 23. 油
- 24. Stage I(T1-2a N0) 蠍磯 覦 螳 覦 讌レ る 蠏殊 豺 曙 覦 蟆曙 譴 蠏殊覦豺襭襯 蟠 IB 蠍一 螻蟲 ( 覩碁 , 蟯豺 , 4cm 伎 譬 , ) 覲伎＾豺襭襯 螻
- 25. Stage II(T2bN0, T1-2N1, T3N0) 蠏殊螻 覲伎＾豺襭螳 豺襭豺 覲伎＾覦豺襭螳 譟伎 螳る 蟆朱 れ 讌 豺襭 煙 螻ろ stage II NSCLC 豺襭覯朱 覿
- 26. Stage IIA(T3N1, T4N0-1) 譯朱 譟一朱 蟲 豺覯 覦 T3 T4 譬 譬蟆 襴狩 願 覦讌 蟆曙 譬蟆襴狩 願 覦 蟆曙 豢豌讌 朱襦 伎覿襯 ろ 譟一 蟆 譴 Superior sulcus 譬 曙 螻 豺覯 覯所規譟磯殊 覦 螳ロ superior sulcus 譬 覲覦豺襭襯 螻
- 27. Stage IIA(T3N1, T4N0-1) 覯 , 蠍磯蠏殊覿 , 譬蟆 豺覯 T3, T4 譬 蟆曙 螳 一豢豌 T3N1M0, T4N0-1M0 NSCLC 蟆 覿襯 螻 譬蟆伎蟆所襯 伎
- 28. Stage III(T1-3N2) 譬蟆襴狩 願 碁 蟆曙 覿 誤伎狩 蟆 譬蟆 襴狩 願 蟆曙 譬蟆襴狩 譟一讌
- 29. Stage IIIA ( 覿螳ロ N2) , IIIB, IV 螳 覿螳ロ IIIA IIIB CCRT(concurrent chemoradiation therapy) 螳 一朱 豢豌 覦 譬 朱 螳ロ覃伎 覿 煙 リ鍵襷 蟆願 覦 蟆曙 螻 螳
- 30. References NCCN Clinical Practice Guidelines in Oncology : Non-small cell lung cancer V.1.2010 2010 讌襭讌豺 ( )
Editor's Notes
- #9: Respiratory alkalosis
- #15: Cea- 蟆所骸蟯谿 覦 豺襭 Biopsy 襦 讌 CT 朱 殊語讌 Brain, bone 伎覿
- #16: Lung cancer in right upper lobe with extension into right middle lobe (T3N1)
- #17: Lung cancer in right upper lobe with extension into right middle lobe (T3N1) Interlobar(11), hilar(10) Ggo infiltration 螳レ Chest wall 伎
- #18: PET DM false negative
- #19: Bone scan