A 73yo man who was a smoker has quit smoking for the past 3yrs. He now presents with
hoarseness of voice and cough since past 3wks. XR: mass is visible in the mediastinum. What is
the best inv to confirm the dx?
a. Bronchoscopy
b. Thoracoscopy
c. US
d. CT thorax
e. LN biopsy
answer: E
Follow this approach
TMN staging system:
T – primary tumor size; (imaging)
N – regional lymph nodes; (biopsy)
M – distant metastasis
(CT/MRI)
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