Secondary Lung Tumors Questions & Answers

Updated: Feb 08, 2019
  • Author: Daniel S Schwartz, MD, MBA, FACS; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Questions & Answers

Overview

What are secondary lung tumors?

What are the pathologic mechanisms through which cancer spreads to the lungs?

What is the pathophysiology secondary lung tumors spread by direct extension?

What is the pathophysiology of metastatic spread secondary lung tumors?

What causes secondary lung tumors?

What are the signs and symptoms of secondary lung tumors?

What is the prognosis of secondary lung tumors?

Presentation

Which clinical history findings are characteristic of secondary lung tumors?

Which physical findings are characteristic of secondary lung tumors?

DDX

Which types of cancer are included in the differential diagnoses of secondary lung tumors?

Workup

How are secondary lung tumors diagnosed?

What is the role of lab testing in the workup of secondary lung tumors?

What is the role of cancer-specific tumor markers in the workup of secondary lung tumors?

What is the role of chest radiography in the workup of secondary lung tumors?

What are the advantages of CT scanning in the workup of secondary lung tumors?

What is the role of CT scanning in the workup of secondary lung tumors?

How are secondary lung tumors differentiated from benign lesions and primary cancers on CT scan?

What is the role of MRI in the workup of secondary lung cancers?

What is the role of PET scanning in the workup of secondary lung tumors?

What is the accuracy of PET scanning in detecting secondary lung tumors?

What is the role of PET-CT in the workup of secondary lung cancer?

What types of PET-CT scanners are used in the workup of secondary lung cancer?

What is the accuracy of PET scanning in detecting secondary lung tumors?

What is the role of PET-CT in the staging of secondary lung cancer?

What is the role of mediastinoscopy in the workup of secondary lung cancer?

What is the role of transthoracic needle aspiration (TTNA) biopsy in the workup of secondary lung cancer?

What is the role of transbronchial needle aspiration (TBNA) in the workup of secondary lung cancer?

What is the role of electromagnetic navigation bronchoscopy in the workup of secondary lung cancer?

What is the role of endobronchial ultrasonography (EBUS) in the workup of secondary lung cancer?

What is the role of esophagoscopy in the workup of secondary lung cancer?

What is the role of VATS in the workup of secondary lung cancer?

What is the role of immunohistochemistry in the workup of secondary lung tumors?

What is the role of gene expression in the workup of secondary lung tumors?

Treatment

How are secondary lung tumors treated?

When is surgery indicated in the treatment of secondary lung cancers?

What is the role of metastasectomy (wedge resection) in the treatment of secondary lung cancer?

What are the patient selection criteria for metastasectomy (wedge resection) to treat secondary lung tumors?

What types of bronchoscopic interventions are used in the treatment of secondary lung tumors?

What is the role of chemotherapy in the treatment of secondary lung tumors?

What are the alternatives to surgical resection for the treatment of secondary lung tumors?