L********r
发帖数: 37 | 1 41. A 67-year-old man comes to the physician for a follow-up exam. Three
years ago, he underwent radical resection of a T3 N0 M0 epidermoid carcinoma
of the floor of his mouth and supraomohyoid dissection of his neck. He
currently takes no medications. He smoked three packs of cigarettes daily
for 40 years but stopped 3 years ago. Vital signs are within normal limits.
Exam shows well-healed surgical scars. There are no signs of local
recurrence. An x-ray of the chest shows a 3-cm mass in the medial upper lobe
of the right lung. Which of the following is the most likely cause of these
findings?
A. Bronchioalveolar carcinoma of the lung
B. Metastatic carcinoma
C. Obstructive pneumonia
D. Primary squamous cell carcinoma of the lung
E. Sarcoidosis |
S******9
发帖数: 2837 | |
L********r
发帖数: 37 | 3 Actually, I have the answer key, but I don't understand them.
Could you explain all the questions?
Thanks.
carcinoma
.
lobe
these
【在 L********r 的大作中提到】
: 41. A 67-year-old man comes to the physician for a follow-up exam. Three
: years ago, he underwent radical resection of a T3 N0 M0 epidermoid carcinoma
: of the floor of his mouth and supraomohyoid dissection of his neck. He
: currently takes no medications. He smoked three packs of cigarettes daily
: for 40 years but stopped 3 years ago. Vital signs are within normal limits.
: Exam shows well-healed surgical scars. There are no signs of local
: recurrence. An x-ray of the chest shows a 3-cm mass in the medial upper lobe
: of the right lung. Which of the following is the most likely cause of these
: findings?
: A. Bronchioalveolar carcinoma of the lung
|
h**s
发帖数: 1757 | 4 What do u wanna take? B?
1) T3 N0 M0 epidermoid carcinoma. This means he had no metastasis at the
very beginning.
2)smoking history
so primary has more possibility. |
S******9
发帖数: 2837 | 5 好像颈部，面部有SCC的，一般要做panendoscopy的 |
L********r
发帖数: 37 | 6 How to exclude A?
Thanks.
【在 h**s 的大作中提到】
: What do u wanna take? B?
: 1) T3 N0 M0 epidermoid carcinoma. This means he had no metastasis at the
: very beginning.
: 2)smoking history
: so primary has more possibility.
|
h**s
发帖数: 1757 | 7 A)Bronchioalveolar carcinoma of the lung
this pathology is lung adenocarcinoma which does not relate with smoking.
【在 L********r 的大作中提到】
: How to exclude A?
: Thanks.
|
