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Old 09-12-2013
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Question Squamous cell carcinoma next step in in Management:

58 yr old male pt, diagnosed with squamous cell carcinoma of the upper left zone. CT Scan showed multiple lymph nodes (Mediastinal ). What will you do next:

PET Scan
Bone Scan
CT Brain
Mediastonascopy
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Old 09-14-2013
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Quote:
Originally Posted by fares View Post
58 yr old male pt, diagnosed with squamous cell carcinoma of the upper left zone. CT Scan showed multiple lymph nodes (Mediastinal ). What will you do next:

PET Scan
Bone Scan
CT Brain
Mediastonascopy
PET scan?

This is carcinoma of what?

The next step is to actually perform a CT scan of the chest and abdomen in order to stage the cancer, out of the options given here the only one that can detect high catabolism cells is the PET scan.. which may work in a way in order to detect metastasis and stage the cancer...

IM not sure tho
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Old 09-14-2013
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Squamous cell carcinoma of the lung .

Most likely PET scan to stage the cancer?
Any other opinion?
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Old 09-14-2013
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If you have a lymph node enlargement in a patient with the Lung cancer you must collect tissue sample. Any abnormal findings on imaging tests should be confirmed by tissue sampling, unless the patient has obvious metastasis.

so the answer is Mediastinoscopy with bx.
nowadays there are some groups that are trying to it through needle sampling using US also.
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Old 09-14-2013
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Yeah thank you.. I didnt know what organ system or area was affected..

NExt time put your question correctly and entirely..Or at least have the decency of putting the organ affected as management or next best step can change depending on the area affected.

If it is the lung then the answer is as Corinthiano said.
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