小结
Definição
Anamnesis y examen
Principales factores de diagnóstico
- cough
- dyspnea
- hemoptysis
- chest pain
- weight loss
Otros factores de diagnóstico
- age 65 to 74 years
- male sex
- fatigue
- pulmonary exam abnormalities
- hoarseness
- confusion
- personality changes
- nausea and vomiting
- headache
- dysphagia
- bone pain and/or fractures
- seizures
- cervical or supraclavicular adenopathy
- facial swelling
- dilated neck or chest/abdominal wall veins
- finger clubbing
- hypertrophic osteoarthropathy
Factores de riesgo
- cigarette smoking
- environmental tobacco exposure
- radon gas exposure
- asbestos exposure
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- chest x-ray
- CT chest, liver, and adrenal glands
Pruebas diagnósticas que deben considerarse
- bronchoscopy
- biopsy
- thoracentesis
- thoracoscopy
- MRI or CT of brain
- mediastinoscopy
- fluorodeoxyglucose positron emission tomography (FDG PET/CT)
- bone scan
- bone marrow aspirate and biopsy
- CBC
- LFTs
- serum sodium
- renal function
- lung function tests
Algoritmo de tratamiento
at initial presentation: limited disease
at initial presentation: extensive disease
relapse within 6 months
relapse after 6 months
Colaboradores
Autores
Bingnan Zhang, MD, MBA
Assistant Professor
Department of Thoracic/Head and Neck Medical Oncology
Division of Cancer Medicine
The University of Texas MD Anderson Cancer Center
Houston
TX
Divulgaciones
BZ declares that she has no competing interests.
Agradecimientos
Dr Bingnan Zhang would like to gratefully acknowledge Dr Leena Gandhi, Dr Alvin R. Cabrera, Dr Christopher R. Kelsey, Dr Lawrence B. Marks, Dr Rebecca Suk Heist, and Dr Catherine B. Meador, previous contributors to this topic.
Divulgaciones
LG, ARC, CRK, and LBM declare that they have no competing interests. RSH has received honoraria for consulting from Novartis, Abbvie, Daichii Sankyo, and EMD Serono. RSH's institution (not RSH) has received research funding from Agios, Abbvie, Exelixis, Daichii Sankyo, Novartis, Lilly, Mirati, Corvus, Incyte, and Genentech Roche.
Revisores por pares
Alan Neville, MD
Professor
Assistant Dean
Undergraduate Program
McMaster University
Hamilton
Ontario
Canada
Divulgaciones
AN declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referencias
Artículos principales
National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology: small cell lung cancer [internet publication].Texto completo
Dingemans AC, Früh M, Ardizzoni A, et al. Small-cell lung cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2021 Jul;32(7):839-53.Texto completo Resumen
National Institute for Health and Care Excellence. Lung cancer: diagnosis and management. Mar 2024 [internet publication].Texto completo
Simone CB 2nd, Bogart JA, Cabrera AR, et al. Radiation therapy for small cell lung cancer: an ASTRO clinical practice guideline. Pract Radiat Oncol. 2020 May - Jun;10(3):158-73.Texto completo Resumen
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
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- Pneumonia/bronchitis
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- NCCN clinical practice guidelines in oncology: small cell lung cancer
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