Volume 143, Issue 5, Pages e121S-e141S (May 2013)

Slides:

Advertisements

Similar presentations

Tell-tale Telangiectasias

Advertisements

Chest X-ray Screening Improves Outcome in Lung Cancer

Colloquium on Therapy of Right Heart Failure

Silvestri Gerard A. , MD, FCCP, Rivera M. Patricia , MD, FCCP CHEST

Environmental Causes of Cancer of the Lung Other Than Tobacco Smoke

Volume 143, Issue 5, Pages e93S-e120S (May 2013)

Prophylactic Irradiation of the Lung in Ewing's Sarcoma

Case Report: Diffuse Interstitial Pulmonary Fibrosis (Hamman-Rich Syndrome): Diagnosis by Lung Biopsy; Treated with Cortico-Steroids ELLIS J. VAN SLYCK,

When to Be Rash About a Fever and Headache

Epidemiology and Treatment of Lung Cancer in Seattle

Volume 127, Issue 2, Pages (February 2005)

Volume 105, Issue 1, Pages (January 1994)

Hyperbaric Oxygenation in Cardiac and Pulmonary Disease

Air Pollution and Chest Disease

Single-Breath Washout Tests to Assess Small Airway Disease in COPD

Percutaneous Needle Biopsy of the Lung for Diffuse Parenchymal Disease

Utility of Pneumonotomy in the Treatment of Cavitary Lung Disease

Special Treatment Issues in Non-small Cell Lung Cancer

Differences in Primary Care Clinicians' Approach to Non-small Cell Lung Cancer Patients Compared with Breast Cancer Timothy R. Wassenaar, MD, Jens C.

Is Survey Cancer of the Lung Curable?

A 51-Year-Old Woman With an Increasing Chest Wall Mass Years After Resection of an Early Stage Lung Cancer Ajay Dhakal, MBBS, Hongbin Chen, MD, PhD,

Screening for Lung Cancer

The Lung Cancer Stage Page

Treatment of Small Cell Lung Cancer

Surge Capacity Principles

Treatment and Prevention of Heparin-Induced Thrombocytopenia

Diagnostic Surgical Pathology in Lung Cancer

Volume 143, Issue 5, Pages e437S-e454S (May 2013)

Volume 143, Issue 5, Pages e93S-e120S (May 2013)

Volume 143, Issue 5, Pages e166S-e190S (May 2013)

Acute Pulmonary Exacerbations of Sarcoidosis

Volume 142, Issue 6, Pages (December 2012)

The Stage Classification of Lung Cancer

Volume 143, Issue 5, Pages e166S-e190S (May 2013)

Millennial Health Care

Treatment of Tobacco Use in Lung Cancer

Chronic Obstructive Pulmonary Disease: An Evidence-Based Approach to Treatment With a Focus on Anticholinergic Bronchodilation Nicholas J. Gross, MD,

Antithrombotic Therapy for VTE Disease

Treatment of Stage IV Non-small Cell Lung Cancer

Details and Difficulties Regarding the New Lung Cancer Staging System

Primary and Secondary Prevention of Cardiovascular Disease

Airway Stenting for Patients With Benign Airway Disease and the Food and Drug Administration Advisory Lund Mark E. , MD, FCCP, Force Seth , MD, FCCP

Endoscopic ultrasound-guided fine needle aspiration and endobronchial ultrasound- guided transbronchial needle aspiration: Are two better than one in mediastinal.

Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration in the Nodal Staging of Stereotactic Ablative Body Radiotherapy Patients Macarena R.

The Changing Face of Outpatient Bronchoscopy in 2013

Differences in Primary Care Clinicians' Approach to Non-small Cell Lung Cancer Patients Compared with Breast Cancer Timothy R. Wassenaar, MD, Jens C.

Volume 142, Issue 6, Pages (December 2012)

Imaging for the Management of Community-Acquired Pneumonia

Spread the Word About CHEST in 2015

Jeffrey Bradley, MD, Issam El Naqa, PhD Journal of Thoracic Oncology

Volume 154, Issue 2, Pages (August 2018)

Volume 143, Issue 5, Pages e263S-e277S (May 2013)

Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration for Lymph Node Staging in Patients with Non-small Cell Lung Cancer in Nonoperable Patients.

Unusual Coin Lesion in the Lung

System-Level Planning, Coordination, and Communication

Volume 138, Issue 4, Pages (October 2010)

Jeffrey T. Yorio, MD, Yang Xie, PhD, Jingsheng Yan, PhD, David E

Volume 155, Issue 1, Pages (January 2019)

Volume 92, Issue 1, Pages (July 1987)

Methodology for Development of Guidelines for Lung Cancer

Cormac McCarthy, MD, PhD, Brenna Carey, PhD, Bruce C. Trapnell, MD

Invasive Pulmonary Aspergillosis

Establishing the Diagnosis of Lung Cancer

Pulmonary Manifestations in a Case of Multiple Myeloma

Needle Aspiration Diagnosis of Rhizopus Lung Abscess

Volume 115, Issue 6, Pages (June 1999)

Thoracic Surgery Survey on Lung Cancer Management

Volume 133, Issue 4, Pages (April 2008)

Use of Endobronchial Ultrasound for Bedside Diagnosis of Acute Pulmonary Embolism in a Critically Ill Patient Colleen L. Channick, MD, FCCP, Richard.

Treatment of Stage III Non-small Cell Lung Cancer

Presentation transcript:

Volume 143, Issue 5, Pages e121S-e141S (May 2013) Clinical and Organizational Factors in the Initial Evaluation of Patients With Lung Cancer David E. Ost, MD, MPH, FCCP, Sai-Ching Jim Yeung, MD, PhD, RPh, Lynn T. Tanoue, MD, FCCP, Michael K. Gould, MD, FCCP CHEST Volume 143, Issue 5, Pages e121S-e141S (May 2013) DOI: 10.1378/chest.12-2352 Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 1 [Introduction, Section 2.3] Overview of initial evaluation, diagnosis, staging, and treatment processes. There is significant overlap between cognitive processes. Developing a clinical diagnosis and assessment of the probable stage begins during the initial evaluation. This clinical assessment is subsequently refined on the basis of biopsy specimen findings that are part of formal staging and diagnosis. Similarly, information regarding the patient's functional status, comorbid conditions, and preferences may have an impact on treatment alternatives, and this in turn may have an impact on the type of diagnostic testing strategies chosen. CXR = chest radiograph. CHEST 2013 143, e121S-e141SDOI: (10.1378/chest.12-2352) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 2 [Introduction] Diagnostic algorithm for patients with suspected non-small cell lung cancer. The initial evaluation provides information on comorbidities, functional status, preferences, and probable extent of disease. The results of the initial evaluation determine the optimal site and sequencing of additional diagnostic and staging tests. Staging and diagnosis will be most efficient if the most advanced site of disease is targeted first. *When there is overwhelming imaging evidence of distant metastases, biopsy of the most accessible site is sufficient. DLCO = diffusing capacity of lung for carbon monoxide; EBUS-NA = endobronchial ultrasound-guided needle aspiration. CHEST 2013 143, e121S-e141SDOI: (10.1378/chest.12-2352) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 3 [Section 2.0] Range of frequencies of initial symptoms and signs of lung cancer. CHEST 2013 143, e121S-e141SDOI: (10.1378/chest.12-2352) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 4 [Section 2.4.1] Features of a standardized evaluation for systemic metastases. CHEST 2013 143, e121S-e141SDOI: (10.1378/chest.12-2352) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 5 [Section 3.0] Paraneoplastic syndromes in patients with lung cancer. CHEST 2013 143, e121S-e141SDOI: (10.1378/chest.12-2352) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 6 [Section 3.1.4] Food and medications to avoid during urine collection for 5-HIAA measurement. CHEST 2013 143, e121S-e141SDOI: (10.1378/chest.12-2352) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 7 [Section 3.2.1] Autoimmune paraneoplastic syndromes associated with lung cancer. CHEST 2013 143, e121S-e141SDOI: (10.1378/chest.12-2352) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 8 [Section 4.0] Time to treatment in US studies of timeliness of care in lung cancer. CHEST 2013 143, e121S-e141SDOI: (10.1378/chest.12-2352) Copyright © 2013 The American College of Chest Physicians Terms and Conditions