BCA With Brain Mets Patho
BCA With Brain Mets Patho
BCA With Brain Mets Patho
Alteration of the ras proto oncogenes = Proto oncogenes turns to oncogenes Inactivation of the P53 tumor suppressor gene on chromosome 17
Promotion: an initiated cell undergoes clonal expansion to form pre-neoplastic lesion Conversion: Pre-neoplastic lesion undergo further genetic change
Stage I:
Tumor is confined in the Lung
Asymptomatic Chronic Cough Chest Pain Shortness of Breath Coin Lesion (CXR) Stage 1 B
Stage 1 A
If treated: Stage IIIA - Chemotherapeutic Drugs - Radiation Therapy - Surgery (Lobectomy, Pneumonectomy) If treated: - Chemotherapeutic Drugs Cessation/Delay of Radiation Therapy Tumor Growth
Conversion:
Pre-neoplastic lesion undergo further genetic change If not treated:
Stage II
Tumor is confined to the chest
Stage IV
Chronic Cough, Shortness of Breath, Chest Pain, Wheezing, Hemoptysis, Symptoms depend on increase in tumor size organ involved. Brain Metastasis: Excruciating pain Brain: Blurred vision, head ache, seizure, II B symptoms ofStage stroke or loss of sensations
If treated: - Chemotherapeutic If treated: Drugs Chemotherapeutic - Radiation Therapy Drugs - Radiation Therapy - Surgery Delay of Tumor (Lobectomy, Growth Pneumonectomy, lymphadenectomy) Poor Prognosis Cessation/Delay of Tumor Growth
If not treated: If not further treated: Tumor spreads to major Tumor organs of increase the in body size
Multi-organ System Failure Cough, Wheezing, Chest DEATH Pain, hemoptysis, RIP? :D shortness of breath, hoarseness of voice, dysphagia, anorexia, weight loss, clubbing of the fingers, cyanosis
Stage III
Tumor is confined to the chest but nearby tissues are affected