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Pancoast Tumor

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61. An Outcome Analysis for Stereotactic Body Radiation Therapy (SBRT) Treatment of Non-Small Lung Cancer Patients Using 4D PET/CT With Real-Time Position Management (RPMâ„¢) System and a Concomitant Evaluation of the Impact and Performance Characteristics of

also be excluded. Pancoast tumors would be excluded. Current distant metastatic disease (M1) (preferably biopsy proven). The patient is a female with child-bearing potential who refuses to obtain a serum pregnancy test prior to the initiation of treatment. The patient is pregnant or a female who is nursing an infant. The patient is planning on undergoing systemic therapy within 2 weeks after the last fraction of radiation The patient has an active systemic or pulmonary infection. Contacts (...) IPD: No Additional relevant MeSH terms: Layout table for MeSH terms Lung Neoplasms Carcinoma, Non-Small-Cell Lung Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Neoplasms Lung Diseases Respiratory Tract Diseases Carcinoma, Bronchogenic Bronchial Neoplasms

2014 Clinical Trials

62. Effects of Inspiratory Muscle Training After Lung Cancer Surgery, a Randomized Controlled Trial

other cancer sites without activity within none year, other tumor types requiring resection of lung tissue; Furthermore, for RCT, one of the following: Age ≥ 70 years or FEV1 ≤ 70% predicted or DLCO ≤ 70% predicted or scheduled pneumonectomy) Exclusion Criteria: physical or mental deficits that adversely influence physical performance; can neither speak nor read Danish; previous ipsilateral lung resection; tumor activity in other sites or organs; pancoast tumor Contacts and Locations Go (...) muscle strength, physical capacity and health-related quality of life after lung cancer surgery Condition or disease Intervention/treatment Phase Lung Cancer Surgery Other: Inspiratory muscle training Other: Placebo comparator: standard physiotherapy Phase 2 Detailed Description: Advances in early detection and treatment improve life expectancy after surgery for lung cancer, but living with lung cancer is frequently associated with symptoms as dyspnoea, decreased physical capacity and fatigue several

2013 Clinical Trials

63. Survival After Extended Resection for Mediastinal Advanced Lung Cancer: Lessons Learned on 167 Consecutive Cases. (Abstract)

patients (25%) were considered unresectable (explorative thoracotomy [ET]), and 125 (75%) underwent ER. The types of ER were superior vena cava in 43 patients (34.4%), carina in 33 (26.4%), combined with superior vena cava in 18 (14.4%), with the left atrium in 35 (28%), and with the aorta in 14 (11.2%). We excluded Pancoast tumors and vertebral resections. The minimum follow-up was 6 months. Kaplan-Meier method and log-rank test were used for statistical analysis of survival.There were 136 men (81.4 (...) Survival After Extended Resection for Mediastinal Advanced Lung Cancer: Lessons Learned on 167 Consecutive Cases. Extended resections (ER) for lung cancer may improve survival in selected patients. However, analysis on large series is still lacking. We reviewed our experience to identify prognostic factors useful for patient selection.Between 1998 and 2010, 167 patients with involvement of one or more mediastinal organs underwent operations with the intent to perform ER. At thoracotomy, 42

2013 Annals of Thoracic Surgery

64. Lung Cancer

and prognosis calculator link below XVII. Resources Harvard Lung Cancer risk calculator Staging and Prognosis Calculator NCI Adult Cancer Treatment XVIII. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Lung Cancer." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Bronchogenic Carcinoma (C0007121) Definition (MSH) Malignant neoplasm arising (...) from the epithelium of the BRONCHI. It represents a large group of epithelial lung malignancies which can be divided into two clinical groups: SMALL CELL LUNG CANCER and NON-SMALL-CELL LUNG CARCINOMA. Definition (NCI_NCI-GLOSS) Cancer that begins in the tissue that lines or covers the airways of the lungs, including small cell and non-small cell lung cancer. Definition (NCI) A lung carcinoma arising from the bronchial epithelium. Definition (NCI_CDISC) A malignant neoplasia of the lung, arising

2015 FP Notebook

65. ISoToxic Accelerated RadioTherapy in Locally Advanced Non-small Cell Lung Cancer: The Phase I/II I-START Trial

treatment Estimated life expectancy of more than 3 months Written informed consent obtained Patient consents for electronic CT scan and planning data to be used for future research Patient is available for follow up Exclusion Criteria: Medically unstable (e.g. unstable diabetes, uncontrolled hypertension, infection, hypercalcaemia or very symptomatic ischaemic heart disease) Previous or current malignant disease likely to interfere with protocol treatment Pancoast tumours Connective tissue disorders (...) isotoxic Additional relevant MeSH terms: Layout table for MeSH terms Lung Neoplasms Carcinoma, Non-Small-Cell Lung Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Neoplasms Lung Diseases Respiratory Tract Diseases Carcinoma, Bronchogenic Bronchial Neoplasms

2012 Clinical Trials

66. Chest imaging

medically necessary for diagnosis and management when the results of imaging will impact treatment decisions. IMAGING STUDY - CT chest Tumor or Neoplasm The following section addresses conditions which may be indicative of underlying neoplasm, as well as benign tumors of the thorax. For cancer screening guidelines and management of documented malignancy, please refer to the Oncologic Imaging guidelines. Chest wall mass Advanced imaging is considered medically necessary in ANY of the following scenarios (...) of cancer in a nonsmoker is much less (0.15) than in a smoker, the risk of malignancy in low-risk patients is very low. For high-risk patients, some nodules of this size with suspicious morphology, upper lobe location, or both may warrant follow up at 12 months. These features may increase cancer risk to 1%-5%. NODULE LARGER THAN 8 mm High-risk patients should usually proceed directly to PET-CT or biopsy. CT surveillance is recommended for nodules greater than 8 mm when: ? Nodules have a low (less than

2020 AIM Specialty Health

67. Chest imaging

is considered medically necessary for diagnosis and management when the results of imaging will impact treatment decisions. Imaging of the Chest Copyright © 2019. AIM Specialty Health. All Rights Reserved. 11 IMAGING STUDY - CT chest Tumor or Neoplasm The following section addresses conditions which may be indicative of underlying neoplasm, as well as benign tumors of the thorax. For cancer screening guidelines and management of documented malignancy, please refer to the Oncologic Imaging guidelines. Chest (...) and Inflammatory Conditions 10 Pneumonia 10 Other infectious or inflammatory conditions 10 Trauma 10 Blunt or penetrating trauma to the thorax 10 Tumor or Neoplasm 11 Chest wall mass 11 Pulmonary nodule 11 Other thoracic mass lesions 13 Parenchymal Lung Disease – not otherwise specified 14 Asbestos-related lesions involving the lungs and pleura (Adult only) 14 Bronchiectasis 14 Bronchiolitis obliterans 14 Interstitial lung disease and pulmonary fibrosis 14 Occupational lung disease (Adult only) 14 Pulmonary

2019 AIM Specialty Health

68. Thoracic Outlet Syndrome.

of US, sonographic diagnosis of compressive effects upon the brachial plexus is a challenge [34], and symptoms of TOS may unmask a deeper regional pathology such as Pancoast tumor or cervical spondylopathy, requiring further imaging. Computed Tomography Angiography Contrast-enhanced CT evaluation of TOS is typically performed as a 2-step procedure in which initial “neutral” images are obtained from elbow to aortic arch with the arms adducted to the side, followed by abduction and repeat imaging (...) Appropriateness Criteria ® 7 Imaging in the Diagnosis of Thoracic Outlet Syndrome 28. Davis GA, Knight SR. Pancoast tumors. Neurosurg Clin N Am. 2008;19(4):545-557, v-vi. 29. Gillard J, Perez-Cousin M, Hachulla E, et al. Diagnosing thoracic outlet syndrome: contribution of provocative tests, ultrasonography, electrophysiology, and helical computed tomography in 48 patients. Joint Bone Spine. 2001;68(5):416-424. 30. Stapleton C, Herrington L, George K. Sonographic evaluation of the subclavian artery during

2019 American College of Radiology

69. Appropriate Use Criteria: Imaging of the Chest

/10744147 Sarcoidosis ? Initial evaluation and periodic follow-up Sternal infection and dehiscence Note: Rare complication of cardiothoracic surgery Structural abnormalities on chest X–ray, which require further clarification with CT Trauma ? Injury involving the chest wall, cardiomediastinal structures and/or lungs Tumor (primary neoplasm or metastatic disease) Management of biopsy-proven malignancy ? For renal cell carcinoma (where biopsy is contraindicated) when surgical resection is planned (...) , ultrasound or CT findings highly suspicious for cancer may constitute documentation of malignancy Exclusions—advanced imaging is not indicated in the following scenarios: ? Breast cancer ? Staging of low risk breast cancer (stage 2B or less) in the absence of signs or symptoms suggestive of metastatic disease ? Surveillance of breast cancer in the absence of signs or symptoms of recurrent disease ? Colon cancer ? Surveillance imaging of colon cancer in remission, unless one of the following high risk

2018 AIM Specialty Health

70. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association Full Text available with Trip Pro

of the interleukin (IL) 1, IL-6, and tumor necrosis factor (TNF) signaling pathways. Study of the adaptive immune response demonstrated that both proinflammatory and regulatory T cells can be found in the circulation in the first week after fever onset. Expansion of the regulatory T-cell population after IVIG administration is associated with cessation of fever and clinical improvement. The self-limited nature of the disease coupled with a low rate of recurrence suggests emergence of T- and B-cell memory (...) Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019

2017 American Heart Association

71. Imaging Program Guidelines: Pediatric Imaging

is present: ? Non-accidental injury (NAI) ? Trauma associated with any of the following features: ? Altered mental status ? Change in behavior ? Vomiting ? Loss of consciousness ? History of high risk MVA or other mechanism of injury ? Scalp hematoma if less than 2 years of age ? Evidence of basilar skull fracture Note: This indication does not apply to patients with bleeding diathesis or intracranial shunts. Tumor (benign or malignant) ? Diagnosis of suspected tumor when supported by the clinical (...) presentations: ? Identification of a space occupying lesion or other focal abnormality (tumor , CVA) ? Detection of parenchymal abnormalities (atrophy, demyelinating disease, infection, ischemic change) ? Identification of ventricular abnormalities (hydrocephalus) There are a number of common symptoms or conditions for which the likelihood of an underlying central nervous system process is extremely low. The following indications include specific considerations and requirements which help to determine

2017 AIM Specialty Health

72. CRACKCast E071 – Ophthalmology Part A

used for motion sickness!!***** diagnosed when 1% pilocarpine has NO miosis effect on pupil size. Increases in light, usually have: ● PTOSIS ● EOM DYSFUNCTION ● DIPLOPIA when 1% pilocarpine instilled the pupil constricts! increases in darkness NO dilation lag NO loss of vision NO Diplopia YES dilation LAG–up to 15 secs caused by: ● strokes ● tumors ● lung CA ● thyroid adenomas ● pancoast’s tumours ● headache syndrome ● carotid dissection ● herpes zoster ● otitis media ● trauma to brachial plexus (...) during delivery Inadvertent anesthetic administration into carotid sheath during dental block…! 21) What is Horner’s syndrome? List 8 DDx. Horner’s syndrome: Due to an interruption of sympathetic innervation Ipsilateral: PTOSIS, MIOSIS, Facial ANHIDROSIS YES dilation LAG of the pupil– needing up to 15 secs to dilate with light Caused by: ● strokes ● tumors ● lung CA ● thyroid adenomas ● pancoast’s tumours ● headache syndrome ● carotid dissection ● herpes zoster ● otitis media ● trauma to brachial

2017 CandiEM

73. Polymyalgia rheumatica

and butterfly rash), cardiopulmonary, and neurological features. Cancer , including: Multiple myeloma — weakness, fatigue, bone pain. Less commonly renal failure, hypercalcaemia, and acute infection. Acute leukaemia — pallor, petichiae, bruising, and fever. Lymphoma — palpable non-tender lymphadenopathy. Less commonly fever, night sweats, and weight loss. Lung carcinoma — apical (Pancoast) tumour may cause progressive, constant pain in the shoulder, upper chest or interscapular region. There may also (...) Polymyalgia rheumatica Polymyalgia rheumatica - NICE CKS Share Polymyalgia rheumatica: Summary Polymyalgia rheumatica (PMR) is a chronic, systemic rheumatic inflammatory disease characterized by aching and morning stiffness in the neck, shoulder, and pelvic girdle. The cause of PMR is unknown, although genetic and environmental factors are thought to contribute to disease susceptibility and severity. Risk factors include: Older age — the highest incidence is in people older than 65 years of age

2019 NICE Clinical Knowledge Summaries

74. CRACKCast E043 – Spinal Injuries

Trauma to base of neck Pancoast tumor, Thoracic aneurysm Sympathectomy 12) For what C-spine injuries is CT-A indicated to rule out vascular injury C1-C3 # Any vertebral body fracture Transverse foramen fracture Facet sub/dislocation Ligamentous injury This likely varies on a per institution basis 13) Are steroids indicated for C-spine injuries? Highly controversial – Cochrane review says yes, almost all other sources (guidelines and surveys) say no. Talk to your surgeon. Common dose is 30mg/kg IV (...) the presence of spinal shock? What is spinal shock? Clinical syndrome characterized by temporary loss of neurologic function and autonomic tone below lesion. Lasts 24 hours to 2 weeks, and is heralded by the return of the bulbocavernosus reflex. 9) List features of sacral sparing Perianal sensation Rectal motor function Great toe flexor activity 10) List Dermatomes/ Myotomes / Spinal reflexes 11) List 6 causes of Horner’s Syndrome MS Encephalitis Tumours Lateral medullary syndrome Thyroid masses or removal

2016 CandiEM

75. Plexopathy

, there are no Current Procedural Terminology (CPT) codes to correspond to the brachial or lumbar plexus directly. In the February 2001 ACR Bulletin (coding questions and answers), the consensus of the Economics Committee on Coding & Nomenclature was that “the choice of the appropriate CPT code for an MRI study of the brachial plexus depends significantly on the clinical indications. For example, an MRI of the chest, focusing on the brachial plexus, is most commonly used in cases of apical lung cancers (Pancoast (...) be complementary but should not be considered an alternative to dedicated plexus imaging in this clinical setting. The most common intrinsic plexus tumors are benign nerve sheath neurofibromas and schwannomas. Malignant peripheral nerve sheath tumors account for 14% of the neurogenic tumors and occur more frequently in patients with neurofibromatosis or a history of radiation therapy [23,24]. When the clinical examination does not reveal an etiology for the patient’s neuropathy, MRI may identify a focal

2016 American College of Radiology

76. Consolidation Chemotherapy/Concurrent Chemo-radiotherapy for Inoperable Stage III Non-small Cell Lung Cancer (NSCLC)

. Ability to give informed consent and willingness to adhere to study protocol. Exclusion Criteria: Patient who have had prior treatment for lung cancer. Prior history of radiation to chest. Known malignancy other than the current cancer. Uncontrolled intercurrent illness including but not limited to ongoing active infection, history of cardiac disease, e.g. uncontrolled hypertension, unstable angina, congestive heart failure, myocardial infarction within last six months or ventricular arrhythmias (...) requiring medication, psychiatric illness that would impair patients ability to comply with study requirements. Pregnant or lactating women (any women becoming pregnant during the study will be withdrawn from the study) Patient with documented or symptoms of peripheral neuropathy. History of allergic reaction to compounds similar to the ones used in this study. Malignant effusions (pleural or pericardial) Superior sulcus (Pancoast) tumors. Any condition that would hamper ability to give informed consent

2011 Clinical Trials

77. Combined Application of EBUS and EUS in Lung Cancer

Identifier (NCT Number): Layout table for additonal information Responsible Party: Bin, Hwangbo, National Cancer center ClinicalTrials.gov Identifier: Other Study ID Numbers: NCC-EUSEBUS First Posted: June 29, 2011 Last Update Posted: October 18, 2012 Last Verified: June 2011 Keywords provided by National Cancer Center, Korea: endobronchial ultrasound endoscopic ultrasound EBUS-TBNA EUS-FNA EUS-B-FNA lung cancer staging Additional relevant MeSH terms: Layout table for MeSH terms Lung Neoplasms Carcinoma (...) , Non-Small-Cell Lung Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Neoplasms Lung Diseases Respiratory Tract Diseases Carcinoma, Bronchogenic Bronchial Neoplasms

2011 Clinical Trials

78. A novel muscle-sparing high thoracotomy for upper thoracic spine resection and reconstruction. Full Text available with Trip Pro

with invasion of the T5 and T6 vertebral bodies, two malignant fibrous histiocytomas causing thoracic cord compression, a metastatic T6 lesion of unknown primary with associated cord compression; and a Pancoast tumor. All patients seen at 6 months had full symmetric shoulder range of motion postoperatively.The described muscle-sparing, high thoracotomy approach provides excellent exposure of the ventral cervicothoracic and upper thoracic spine without the morbidity associated with the transection (...) cervicothoracic and upper thoracic spine lesions.A novel muscle-sparing, high thoracotomy approach is described, utilizing a midline posterior incision with lateral extension from the lateral decubitus position. Five patients are presented to illustrate the application of this technique in thoracic tumors with intimate spinal involvement.The muscle-sparing, high thoracotomy approach afforded gross total resection and spinal reconstruction in five consecutive patients, including stage IV lung carcinoma

2017 European Spine Journal

79. Shoulder Pain

Shoulder Pain Cardiac (e.g. , ) Left arm, or Neck, lower jaw, and interscapular Pulmonary (Carcinoma, , or abscess) Pancoast (Apical Tumor of superior sulcus lung) Other mediastinal, aorta, esophageal causes VII. Causes: Malignant Sources of Referred Shoulder Pain Bone Metastases ( most common) metastases (less common) Ribs, spine, and (more common) XRay and bone scans have high Periosteal bone formation Results in cranial or spinal impingement Usually minimal or no symptoms Increased pain Think tous (...) Shoulder Pain Shoulder Pain Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Shoulder Pain Shoulder Pain Aka: Shoulder Pain II. Causes

2018 FP Notebook

80. Horner's Syndrome after Scalene Block and Carotid Dissection. (Abstract)

BE AWARE OF THIS?: The pathologies underlying Horner's syndrome are exceedingly diverse. Although classic teaching often focuses on neoplastic causes, and more specifically Pancoast tumors, neoplasms are discovered only in a small minority of Horner's syndrome cases. Other etiologies include trauma, cervical artery dissection, and infarction. With a better understanding of the pertinent anatomy and array of possible etiologies, emergency physicians may have more success in identifying and treating

2016 Journal of Emergency Medicine

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