BCA With Brain Mets Patho

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BRONCHOGENIC CARCINOMA STAGE IV WITH BRAIN METASTASIS ;) Predisposing Factors Age Gender Genetics ?? I need more ???

Precipitating Factors Lifestyle Diet Environment Occupation

Carcinogens will enter the Respiratory System

Initiation: Deoxyribonucleic Acid Mutation due to Carcinogenic Agents

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

MALIGNANT TUMOR DEVELOPS

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

If not treated: Stage IIIB

Conversion:
Pre-neoplastic lesion undergo further genetic change If not treated:

Tumor increase in size

Delay of Tumor Growth

Stage II
Tumor is confined to the chest

Stage IV

Tumor spreads to major organs of the body Stage II A

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

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