You have a 60 yo male patient being evaluated for a cough of two month’s duration.\u00a0 He is an active smoker with a 45 pk year smoking history.\u00a0 He reports increased dyspnea on exertion and right chest heaviness and discomfort. You perform a screening CT scan on him as he meets lung cancer screening guidelines, and CT reveals a 5cm spiculated RUL mass with distal collapse of the RUL.\u00a0 There is also a small to moderate right pleural effusion and irregularity of the right pleural surface.<\/p>\n
You use an spn calculator to help you determine the probability that this is lung cancer and guide your discussions with this patient.<\/p>\n
Based on the probability this is lung cancer and based on what information you currently have, which of the following regarding lung cancer staging in this patient is most true?<\/p>\n
1) T stage is T3<\/p>\n
2) If the pleura was not involved this would be IB<\/p>\n
3) M stage is M1<\/p>\n
4) Staging cannot be determined without biopsy of the mediastinal lymph nodes<\/p>\n
What procedure would you perform to confirm the diagnosis and staging?<\/p>\n","protected":false},"excerpt":{"rendered":"
You have a 60 yo male patient being evaluated for a cough of two month’s duration. He is an active smoker with a 45 pk year smoking history. He reports increased dyspnea on exertion and right chest heaviness and discomfort. You perform a screening CT scan on him as he meets lung cancer screening guidelines, […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-939","post","type-post","status-publish","format-standard","hentry","category-curriculum"],"modified_by":"Geneva Tatem","_links":{"self":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/939","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=939"}],"version-history":[{"count":1,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/939\/revisions"}],"predecessor-version":[{"id":940,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/939\/revisions\/940"}],"wp:attachment":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=939"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=939"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=939"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}