The patient O 45 year old male O 170 lbs O 5’11” O Complaining of a cough that hasn’t gone away for 4 months
What should we do first? O Dr. Chase says he’s a good surgeon, and he can operate to find the cause. O Dr. Taub says it’s probably just allergies, and to prescribe some allergy medicine. O Dr. Foreman says we should ask the patient questions about his medical history, and listen to his chest.
Pick some questions to ask: O Any other allergy symptoms? Runny nose, sneezing O Any other chest pains? O History of smoking? O Fever?
New information O No sneezing or runny nose O No fever O No sore throat O Has been a regular smoker for over 20 years O Abnormal sound in right lung
What now? O Dr. Chase says he thinks it might be pneumonia O Dr. Wilson says he thinks it might be lung cancer O Dr. Adams says she thinks it might be a virus
X-ray of our patient Dr. Wilson says this is a good sign that it’s lung cancer.
What else can we do to check if it’s cancer? O Dr. Chase says we should do a biopsy on it now to see what it is. O Dr. Wilson says we should do a PET scan first to find out if it has spread to other parts of the body O Dr. Taub says we should do an echocardiogram to see if there is anything wrong with his heart
Patient PET scan Brain lights up Bladder lights up
What now? O Dr. Chase says now we need to do the biopsy to try to remove the tumor and find out more about the type of cancer O Dr. Foreman says we should start the patient on chemotherapy O Dr. Adams says we should use radiation to treat the cancer
What do we know now? O Patient has lung cancer, but it hasn’t spread O It seems to be a slow growing non-small cell cancer O Surgery and radiation are both good when the cancer is all in one spot
Questions to answer O What was the most significant thing that contributed to his risk for lung cancer? O What can an x-ray tell us about lungs? O What can a PET scan tell us about cancer? O Why is a biopsy of the cancer important even after the patient has been diagnosed?