Friday, 30 May 2014

Most commons in Respiratory System

 In lung cancer, partial deletion of the short arm of chromosome
3 (3p) has been one of the earliest and most common
genetic changes. Chromosome 3p deletion occurs in
almost 100% of SCLC and 90% of NSCLC.
Mutation and more commonly amplification of PIK3CA , which encodes the catalytic
subunit of phosphatidylinositol 3-kinase (PI3K), occur
most commonly in squamous cell carcinomas.


 p53 inactivating mutations are the most common
alterations in cancer, especially lung cancer, where 17p13 frequently demonstrates hemizygous deletion and mutational inactivation in the remaining allele.


 Lung cancer is the most common
cause of brain metastases.


 Patients with persistent
headaches without any structural abnormalities on brain imaging
should undergo spinal fluid evaluation for leptomeningeal
carcinomatosis. A positive cytology is found on an initial lumbar
puncture in 50% to 70% of the patients. In patients with
clinical signs and symptoms suggestive of leptomeningeal metastases,
repeat lumbar puncture is required if the first cytology
evaluation is negative.


 Today, breast cancer is the second most common cause of BM among all solid malignancies, second only to lung cancer; furthermore, it is the most common cause of leptomeningeal carcinomatosis.


 Lung cancer can metastasize to almost
any bone, although the axial skeleton and proximal long bones
are most commonly involved. Bone pain is present in up to
25% of all lung cancer patients at presentation.


 Dermatomyositis and polymyositis are inflammatory conditions characterized by muscle weakness and tenderness, and skin changes, in the case of dermatomyositis.


 Breast and lung cancers are the most common associated malignancies. Most
cases are idiopathic in nature and unrelated to cancer.

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