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CARCINOMA OF RESPIRATOTY
TRACT
 This may be Benign or Malignant.
 Majority is malignant.
 Male › Female
 Urban dwellers › rural dwellers
 Squamous cell carcinoma – more common, late
metastasize
 Anaplastic- early metastasize
 Adenocarcinoma arises in periphery of bronchi
 Alveolar cell carcinoma-rarest form
AETIOLOGY
 Smoking : higher the rate of smoke, higher the
chance of developing carcinoma.
 Exposure to Carcinogens (asbestos,nickle,
chromates).
PATHOLOGY
 Originates in large bronchi
 Spread by direct invasion of lung, chest wall and
mediastinal structure
 Tumor grows to occlude the lumen of bronchus
 Atelectasis distal to the growth
CLINICAL FEATURES
 Cough
 Hemoptysis
 Dyspnea
 Pain
 Malaise
 Weight loss
MEDICAL TREATMENT
 Surgery
 Chemotherapy- cytotoxic drugs are used. Aplastic
tumors are tend to respond more.
 Radiotherapy – to release pain.
PHYSIOTHERAPY
 Pre/post operative physiotherapy for lobectomy, or
pneumonectomy
 During/after radiotherapy- once tumour begins to
decrease, patient starts to expectorate sputum.
 Postural drainage with vibration.
 Shaking or percussion is contraindicated as it can
increase risk of rib or vertebral fracture.
 Modified postural drainage with vibration and
breathing exercises.
 Suction for ineffective coughing.

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CARCINOMA OF RESPIRATOTY TRACT.pptx

  • 2.  This may be Benign or Malignant.  Majority is malignant.  Male › Female  Urban dwellers › rural dwellers  Squamous cell carcinoma – more common, late metastasize  Anaplastic- early metastasize  Adenocarcinoma arises in periphery of bronchi  Alveolar cell carcinoma-rarest form
  • 3. AETIOLOGY  Smoking : higher the rate of smoke, higher the chance of developing carcinoma.  Exposure to Carcinogens (asbestos,nickle, chromates).
  • 4. PATHOLOGY  Originates in large bronchi  Spread by direct invasion of lung, chest wall and mediastinal structure  Tumor grows to occlude the lumen of bronchus  Atelectasis distal to the growth
  • 5. CLINICAL FEATURES  Cough  Hemoptysis  Dyspnea  Pain  Malaise  Weight loss
  • 6. MEDICAL TREATMENT  Surgery  Chemotherapy- cytotoxic drugs are used. Aplastic tumors are tend to respond more.  Radiotherapy – to release pain.
  • 7. PHYSIOTHERAPY  Pre/post operative physiotherapy for lobectomy, or pneumonectomy  During/after radiotherapy- once tumour begins to decrease, patient starts to expectorate sputum.  Postural drainage with vibration.  Shaking or percussion is contraindicated as it can increase risk of rib or vertebral fracture.  Modified postural drainage with vibration and breathing exercises.  Suction for ineffective coughing.