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COPD and Cancer
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31.1.08
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- Chronic Obstructive Pulmonary Disease (COPD)
- Common features of COPD
- almost all have smoking history
- dyspnea - chronic "gasping" for air
- frequent coughing and infections
- often leads to respiratory failure
- obstructive emphysema - usually results from smoking
- a. enlargement & deterioration of alveoli
- b. loss of elasticity of the lungs
- c. "barrel chest" from bronchiole opening during inhalation & constriction during exhalation
- chronic bronchitis - mucus/inflammation of mucosa
Lung Cancer
- squamous cell carcinoma (20-40%) - epithelium of the bronchi and bronchioles
- adenocarcinoma (25-25%) - cells of bronchiole glands and cells of the alveoli
- small cell carcinoma (10-20%) - special lymphocyte-like cells of the bronchi
- 90% of all lung cancers are in people who smoke or have smoked
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