1) Hoarseness is usually due to compression of the right recurrent laryngeal nerve.
Incorrect
CORRECT!
It’s the left recurrent laryngeal nerve
2) Pancoast’s tumour causes wasting in the distribution of the T1 dermatome.
CORRECT!
Invasion of the sypathetic chain and brachial plexus can cause weakness of the small muscles of the hand – C5/6, T1 motor loss and shoulder pain.
Incorrect
3 Hypercalcaemia is an indication of bone marrow spread.
Incorrect
CORRECT!
Hypercalcaemia can be a sign of bony metasteses (rather than bome marrow disease) or of ectopic production of a PTH-like hormone.
4 Mediastinal spread may result in superior vena caval obstruction.
CORRECT!
SVCO presents with facial and upper body oedema, facial plethora, cyanotic appearance and venous distension of the face and upper body. The patient may complain of a headache or pressure in the head.
Incorrect
5 Radiotherapy is only used for palliation of symptoms due to metastatic spread.
Incorrect
CORRECT!
Radical radiotherapy can be given with curative intent to those with small tumours (stage 1 or 2) who are relatively fit but may have health or personal reasons for not having surgical resection.
