CáNcer De PulmóN I

CÁNCER de PULMÓN Fátima Doña Domínguez 1º MFyC

INTRO ,[object Object],[object Object]

Intro ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ETIOLOGÍA ,[object Object],[object Object],[object Object],[object Object]

TIPOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ca.Pulmonar ,[object Object],[object Object],[object Object]

EPIDERMOIDE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ADENOCARCINOMA ,[object Object],[object Object],[object Object],[object Object],[object Object]

CÉLULAS GRANDES ,[object Object],[object Object],[object Object],[object Object],[object Object]

CÉLULA PEQUEÑA ,[object Object],[object Object],[object Object],[object Object]

Diagnóstico: fase 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNÓSTICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNÓSTICO ,[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnóstico: fase 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnóstico: fase 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Material Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Citología de esputo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Broncoscopia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PAAF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clasificación TNM ,[object Object],[object Object],[object Object],[object Object]

ESTADIFICACIÓN TNM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ESTADIFICACIÓN TNM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ESTADIFICACIÓN TNM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ESTADIFICACIÓN TNM ,[object Object],[object Object],[object Object],[object Object]

TNM ,[object Object],IIIb IIIb IIIb IIIb N3 IIIb IIIa IIIa IIIa N2 IIIb IIIa IIb IIa N1 IIIb IIb Ib Ia NO T4 T3 T2 T1

Agrupación por estadios M1 Cualquier N Cualquier T IV M0 Cualquier N T4 M0 N3 Cualquier T IIIB M0 N1 T3 M0 N2 T1-3 IIIA M0 N0 T3 M0 N1 T2 IIIB M0 N1 T1 IIA M0 N0 T2 IB M0 N0 T1 IA M0 N0 Tis O M0 N0 Tx OCULTO M N T ESTADIO

Clasificación del C.P.Microcítico ,[object Object],[object Object],[object Object]

Diagnóstico y tratamiento Ca. PULMÓN Estudios de Operabilidad: espirometría, ECG, analíticas… OPERABLE Estudios de Resecabilidad: ECO-TC abd. Tc cerebral. Gamagrafía ósea, … RESECABLE Según localización y autores: MEDIASTINOSCOPIA, MEDIASTINOTOMÍA, TORACOSCOPIA RESECABLE RESECCIÓN PULMONAR INOPERABLE IRRESECABLE IRRESECABLE Tto No Qx

Selección para CIRUGÍA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Selección para CIRUGÍA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Criterios de INOPERABILIDAD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Criterios de IRRESECABILIDAD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tratamiento Ca. Céls Pequeñas ,[object Object],[object Object],[object Object]

Tto. Células No Pequeñas (no microcítico) ,[object Object],[object Object],[object Object],[object Object],[object Object],IIIb IIIb IIIb IIIb N3 IIIb IIIa IIIa IIIa N2 IIIb IIIa IIb IIa N1 IIIb IIb Ib Ia NO T4 T3 T2 T1

Estadios I y II no microcítico ,[object Object],[object Object],[object Object]

Manejo de la sintomatología ,[object Object],[object Object],[object Object],[object Object],[object Object]

Nódulo Pulmonar Solitario ,[object Object],[object Object]

Criterios de benignidad NPS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tiempo de duplicación del NPS ,[object Object],[object Object],[object Object]

NPS NPS con criterios de benignidad NPS sospechoso de malignidad Seguimiento RX: Trimestral el 1º año Anual posterior FIBROBRONCOSCOPIA Y BIOPSIA ESTABLE MODIFICADO MALIGNIDAD NEGATIVIDAD METÁSTASIS TUMOR 1º NPS CENTRAL NPS PERIFÉRICO - Tumor 1º controlado - Ausencia de Mts en otro órgano Estudios de OPERABILIDAD RESECABILIDAD BRONCOSCOPIA + BIOPSIA PAAF transtorácica NEGATIVIDAD TORACOSTOMÍA diagnóstica NO  QT+/- RT SÍ  QX

Bibliografía ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CáNcer De PulmóN I

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CáNcer De PulmóN I