際際滷

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CASE REPORT PK 1 譟 企
 O   F/68 Chief Complaint Cough Onset : 2010   10
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
History PHx DM/ HTN  : -/ + SHx Alcohol : - Smoking : - FHx None Drug Hx 螻 覲旧譴 Allergy None
Review of System
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
油
油
油
油
油
油
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
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
Results of Work-up
Results of Work-up
Results of Work-up
Results of Work-up
Staging  The cancer is larger than 7cm T3 Lymphandenopathy only in right interlobar and hilar N1 No metastasis M0 Clinical stage : Stage IIIA
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
Treatment of NSCLC
TNM stage
油
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
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
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
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
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
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
References NCCN Clinical Practice Guidelines in Oncology : Non-small cell lung cancer V.1.2010 2010  讌襭讌豺 (  )
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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.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 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
  • 23.
  • 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