USMLE Forum Archives - USMLE Step 2 CK - work-up
work-up
bingousmle - 05-19-10 09:22
A 56-year-old chronic alcoholic and heavy smoker presents with a 3-cm, firm, right midcervical neck mass. An excisional biopsy reveals squamous cell carcinoma. Which of the following is the most appropriate approach at this time?
A: Bronchoscopy, esophagoscopy, and laryngoscopy
B: CT of the neck
C: CT of the brain
D: Neck dissection
E: Radiation therapy
bingousmle - 05-19-10 09:22
A 56-year-old chronic alcoholic and heavy smoker presents with a 3-cm, firm, right midcervical neck mass. An excisional biopsy reveals squamous cell carcinoma. Which of the following is the most appropriate approach at this time?
A: Bronchoscopy, esophagoscopy, and laryngoscopy
B: CT of the neck
C: CT of the brain
D: Neck dissection
E: Radiation therapy
The correct answer and explanation will be available after you answer.
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#1
Re: work-up babbu5508 - 05-19-10 13:18 My answer is: b.
Cervical lymph nodes are the most common metastatic site for SCCs. Patients with tumor involving upper or mid level cervical nodes are likely to have a primary cancer of the head and neck. In contrast, a lung primary should be suspected in those with lower cervical lymph nodes.
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