APSR Virtual Library template
Template for APSR Teaching Case Vignettes
(Example provided in Blue)
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Unique identifier (this will be provided by the APSR
Secretariat when the APSR member notifies of intention to
submit a Teaching Case (generated by APSR website
application)
Assembly
Author
Author Institution
Author address line 1
Author address line 2
Author City
Author Country
Author Postcode
Author email
Author contact telephone (country code)
Author fax(country code)
Author miscellanous
Date submitted to A_Head
Date of A_Head decision
A-Head decision (accept, reject, revise)
Date submitted to Edu_Comm
Date of Edu_Comm decision
Edu_Comm decision (accept, reject, revise)
Secretariat Office notes
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Title
Case / Issue
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Question
Response a
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Response b
CT-PET scan
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Response c
EBUS TBNA of ipsilateral nodes
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Response d
EBUS TBNA of bilateral nodes
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Response e
Submitter’s answer
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Reason for
submitter’s answer
Comments, if any
References 1
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Friday, 30 October 15
00001
Lung Cancer
Kwun Fong
XXXXX
XXXXX
XXXXXX
Brisbane
Australia
XXXXX
XXXXX
XXXXX
XXXXX
XXXXX
Dd/mm/yy
Dd/mm/yy
Assessment of mediastinal nodes in lung cancer
A 78 year old man with a history of silicosis and past smoking was
diagnosed with a T1b 25mm LLL subpleural NSCLC NOS on TTNA. He is
fit otherwise and considered suitable for curative intent treatment if
early stage
His initial chest CT shows enlarged calcified mediastinal nodes
measuring up to 2 cm bilaterally (CT image provided)
What is the next optimal test for evaluating the nodal stage?
mediastinoscopy
None of the above
Given the likelihood of high PET uptake in silicotic nodes (reference
provided …..), EBUS TBNA of bilateral nodes is recommended to
determine N status to decide on respectability or determination of
radiation therapy
APSR Virtual Library template
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References 2
References 3
Key word 1
Lung cancer
Key word 2
TNM stage
Key word 3
Mediastinal assessment
Image file 1
Image file 2
Image file 3
Image file 4
Date of expiry and Review
APSR use only – completed and checked by
Date of form completion
Date case added to library
Friday, 30 October 15