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Thoracic Oncology NetWork

August 21, 2009
Thoracic Oncology NetWork Online Puzzler

A 38-year-old man with a history of urethral and esophageal strictures, as well as smokeless tobacco use, was referred to the pulmonary clinic for a suspicious nodule in the right upper lobe seen on a CT scan. He had a history of oral squamous cell carcinoma stage III (T1N1M0) treated with wide local excision and bilateral neck dissection. Surgery was followed by one cycle of a planned three cycles of cisplatin complicated by severe pancytopenia requiring hospitalization. The patient subsequently received adjuvant radiation therapy to the neck. A follow-up CT scan demonstrated a suspicious nodule in the right upper lobe for which he was referred to a pulmonary medicine specialist. On exam, he has stable vital signs, including pulse oximetry. He has well-healed incisions on his neck and skin changes consistent with radiation therapy. His cardiac and lung examination results are normal. The only other noteworthy finding is that he has significant dystrophic fingernails. He states that he has had them all of his life.

August 17, 2009
Thoracic Oncology NetWork Online Puzzler - August 2009

A 64-year-old woman comes to see you for a second opinion regarding a lung nodule. In 2002, she participated in a lung cancer screening study, which showed a 2.1 cm ground glass lung opacity in the right upper lobe. This was followed conservatively with serial CT scans performed every 6 months. The patient read in a magazine that radiation exposure from CT scans may cause cancer, and she is worried that having too many such studies performed may adversely affect her health. She is seeing you for a second opinion. She has no dyspnea. She began smoking one pack of cigarettes daily in college, but quit more than 30 years ago.

March 25, 2009
Thoracic Oncology NetWork Online Puzzler - March 2009
A 62-year-old woman comes to your practice for evaluation of a cough and abnormal CT scan. Biopsy of a 3.5 cm lung mass 2 years ago was diagnostic of non-small lung cancer, stage IB. She underwent lobectomy, but not chemotherapy, with improvement in the mass. Eight months ago, evaluation of neck pain showed a metastatic lesion in the thoracic spine, which was managed with local radiation to the thoracic spine. Over the past month, the patient has been experiencing coughing and low-grade fevers, which have been refractory to azithromycin prescribed by her primary care physician. A CT scan was obtained, which is shown in Figure 1.
March 14, 2009
Thoracic Oncology Literature Review

Dr. Alberts Discusses Literature on Thoracic Oncology from 2008

November 11, 2008
Thoracic Oncology NetWork Online Puzzler - November 2008
A 65-year-old woman who smokes comes to see you regarding abnormal chest radiograph findings demonstrating a small nodule. The radiograph had been obtained in an ED where she had presented with atypical chest pain that resolved with ibuprofen. She has had a persistent cough for about 3 months but pursues a very active lifestyle. There is no dyspnea.
November 01, 2008
NetWork Special Presentations from CHEST 2008
All presentations are in read-only PDF format. Printing is restricted. To download a presentation to your computer, click on the presentation title.
November 01, 2007
NetWork Special Presentations from CHEST 2007
All presentations are in read-only PDF format. Printing is restricted. To download a presentation to your computer, click on the presentation title.
September 01, 2007
Diagnosis and Management of Lung Cancer Executive Summary: ACCP Evidence-Based Clinical Practice Guidelines (2nd Edition)

In the 19th century, lung cancer was an unusual tumor; so much so that single case reports of the rare cancer were published in the scientific literature of the day. Things have changed. Other than skin cancer, lung cancer is now the most common cancer and is the most frequent cause of death from cancer in both men and women.

January 01, 2004
Advanced Lung Cancer: Issues To Consider

When a person is diagnosed with lung cancer, the doctors do their best to provide treatments that can cure or slow the growth of the cancer.

January 01, 2004
Living With Lung Cancer

Your doctor has just told you that you have lung cancer.

January 01, 2004
Lung Cancer… Am I At Risk?

Lung cancer is one of the most common cancers.

January 01, 2004
What If I Have a Spot on My Lung? Do I Have Cancer?

Lung cancer is one of the most common cancers. About 170,000 people in the United States are diagnosed with lung cancer every year.

January 01, 2003
Diagnosis and Management of Lung Cancer Slide Kit
The Diagnosis and Management of Lung Cancer: ACCP Evidence-Based Guideline was published in CHEST in January 2003.