Bronchial Carcinoma. Other primitive and metastatic tumors.
- Refer the epidemiology of bronchial carcinoma, its health significance, incidence and high mortality.
- List the proven carcinogens and their relative influence. Have updated information on progress in the biology of lung cancer.
- Establish the relationship between smoking and bronchial carcinoma. Differentiate active and passive smoking, occupational and genetic factors.
- Meet the histologic classification of lung cancer, distinguishing between subtypes of non-small cell and small cell. Criticizing the concept of bronchial adenoma. Bookmark the relative frequency of carcinomas of low grade malignancy.
- List and describe the signs and symptoms caused by the tumor, its intrathoracic extent and metastases. Report clinical features capable of differentiating the different histological types. Differentiating lung metastases of solid tumors.
- Exposing the clinical pictures of neoplastic syndromes caused by bronchial carcinoma (superior vena cava syndrome, Pancoast syndrome, frenic or recurrent nerves impairment), indicating its prognostic significance and treatment in each case.
- Understand and define the main paraneoplastic syndromes.
Treatment of bronchopulmonary neoplasms.
1.-Describe and indicate the rentability of different diagnostic methods, with particular reference to those that allow cyto-histological study. Depending on the characteristics and location of the lesion, establishing a sequential diagnostic algorithm.
2.-Indicate the current possibilities of early detection. Define the concept of solitary pulmonary nodule and its characteristics pointing a probable benign or malignant origin.
3.- Analyze rentability of different techniques employed to complete the extension study.
4- Differentiate and distinguish the concepts of operability and resectability.
5 - Report indications of surgery, radiotherapy and chemotherapy according to histology, resectability and operability.
6.- Analyze the pattern of spread of lung cancer. Meet survival rates according to surgical-pathologic TNM classification. Discuss the diagnostic accuracy of imaging techniques.
7.- Defining surgical indications in non-small cell lung carcinoma.
8.- Analyze the indications of radiotherapy and chemotherapy in non-small cell lung carcinoma, within a multidisciplinary treatment.
9.- Defining surgical indications in small cell lung cancer.
10.- Know the treatment of bronchial carcinoid by histopathology.
11.- Defining surgical indications after the discovery of lung metastases.