sprint123 Forum Guru
Topics: 129 Posts: 870
| | 05/01/07 - 04:22 PM  
 
   
 
|   #2 |
OOPS!!!I got it wrong.....Small cell CA with peripheral lesion--->Management cannot be bronchoscopy or sputum cytology...Betwen CT and LN biopsy I think I will go for the latter.....
Edited by sprint123 on 05/01/07 - 04:29 PM
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| vradojc1 Forum Elite

Topics: 21 Posts: 309
| | 05/01/07 - 04:24 PM  
 
   
 
|   #3 |
But look at CXR! Peripheral lesion!
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| vradojc1 Forum Elite

Topics: 21 Posts: 309
| | 05/01/07 - 04:33 PM  
 
   
 
|   #4 |
I'd pick LN, since CT will give just confirmation of expansive/infiltrative lesion. If it were MRI, I'd think twice. However, biopsy would still be more sensitive. Any other opinion?
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| Justice Forum Fanatic

Topics: 108 Posts: 2,189
| | 05/01/07 - 07:52 PM  
 
   
 
|   #5 |
E) LN biopsy And this is most likely is not SCLC, which is a central form of the lung cancer, not periferal... The Q is not correct by itself
___________________ Don't live in a town where there are no doctors
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| vradojc1 Forum Elite

Topics: 21 Posts: 309
| | 05/01/07 - 07:57 PM  
 
   
 
|   #6 |
Based on paraneoplastic manifestations, which one would you pick? SCLC is usually central, but in the light of symptoms...
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| Justice Forum Fanatic

Topics: 108 Posts: 2,189
| | 05/01/07 - 08:02 PM  
 
   
 
|   #7 |
My choice is LN biopsy... CT guided tumor biopsy is not an option on the list I am always worried when Qs composed inappropriately ...
___________________ Don't live in a town where there are no doctors
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| vradojc1 Forum Elite

Topics: 21 Posts: 309
| | 05/01/07 - 08:06 PM  
 
   
 
|   #8 |
No, no, no, I asked you which CA would you pick? I'd say LN biopsy as well (from offered answeres), but in real life it'd be CT guided biopsy of the Tm.
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| amkhit Forum Newbie

Topics: 4 Posts: 32
| | 05/02/07 - 09:44 AM  
 
   
 
|   #9 |
As a rule Any Cancer needs tissue diagnosis for confirmation . So one an either biopsy the primary( the lung nodule) using a CT guided biopsy /FNA, or biopsy the supraclavicular node ( the question already suggests a metastssis to the supraclavicular node).
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| usmle12 Forum Senior
Topics: 19 Posts: 194
| | 05/02/07 - 10:08 PM  
 
   
 
|   #10 |
YEAH BIOPSY ALWAYS...bcz u cant stain the CT u cant culture an MRIi u cant get sensitivity testing on scans...
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