
A 55 year old long term smoker, a long term IRS agent, presents for his routine physical examination and is found to have a 4 cm left peripheral lung nodule and enlarged hilar lymph nodes. He is afebrile and feels well except for some mild shortness of breath on exertion. Further CT scans show that he is normocalcemic. A peripheral CT directed lung biopy shows cells with nuclear pleomorphism, prominent nuclei and abundant pink to foamy cytoplasm. Abnormal mitosis are everywhere, and part of the tissue is necrotic. A special stain develops intra-cytoplasmic mucin substances.
Your diagnosis:
A. Squamous cell carcinoma
B. Adenocarcinoma
C. Small cell undifferentiated carcinoma
D. Bronchial carcinoid
E. Hamartoma
Answer
Category:
Oncology MCQs
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