This information is not intended to be a substitute for professional medical advice. If you think you may have a medical ailment, do not use the internet as a tool for self diagnosis or treatment. Seek the opinion of a health professional immediately. Every effort has been made to provide current, accurate information. If you feel an error has been published then contact me immediately. dmcbride@kumc.edu
choose
the best answer
key is at the bottom of the page
The answers are reflective of the 5th Edition of the AJCC Staging Handbook,1998
1. 56 y/o female with right breast mass on mammogram. Lumpectomy with axillary lymph node dissection reveals a 2.1 cm grade 3 ductal carcinoma with 12 ipsilateral lymph nodes negative for metastatic disease. Surgical margins are uninvolved. Bone scan negative.
SEER=______________
TNM=
a. T2 N0 M0 Stage IIA
b. T2 N1 M0 Stage IIB
c. T3 N0M0 Stage IIB
d. T3 N1 M0 Stage IIIA
2. 72 y/o male diagnosed with well differentiated adenocarcinoma of the sigmoid colon. Sigmoid resection reveals this adenocarcinoma to be 2.1x1.7x1.5cm in size and seven out of fifteen inferior mesenteric lymph nodes were positive for disease. The tumor focally extends into the subserosa. Chest radiography is negative.
SEER=______________
TNM=
a. T3 N0 M0 Stage II
b. T3 N2 M0 Stage III
c. T2 N2 M0 Stage III
d. T1 N1 M0 Stage II
3. 59 y/o male with 3.2 cm poorly diffferentiated squamous cell carcinoma of the right upper lobe of the lung. Chest x-ray with positive mediastinal lymphadenopathy., however upon further examination this is thought to be secondary to history of sarcoid. Bone scan and chest/abdominal CTs are otherwise negative.
SEER=_____________
TNM=
a. T1 N0 M0 Stage IA
b. T2 N0 M0 Stage IB
c. T3 N0 M0 Stage IIB
d. T2 N1 M0 Stage IIB
4.
69 y/o male with a PSA of 20.7, and a mass felt on digital rectal
examination has a needle biopsy of the prostate which reveals
well differentiated adenocarcinoma (Gleasons Scale 2+1=3). Pelvic
CT shows prostate mass in the right lobe without lymphadenopathy.
Bone scan is positive for degenerative disease in right shoulder,
but no metastsis is visualized.
SEER=_____________
TNM=
a. T1c N0 M0 Stage II
b. T1b N0 M0 Stage II
c. T2a N0 M0 Stage II
d.T2b N0 M0 Stage II
5. 78 y/o female with Non Hodgkins Lymphoma involving the right anterior cervical and the right axillary lymph nodes. No other clinical or radiographic evidence of other nodal involvement is visualized.
SEER=____________
TNM=
a. Stage I
b. Stage II
c. Stage III
d. Stage IV
6. 34 y/o female with skin lesion on her back for 2 years. Excision reveals a malignant melanoma with a thickness of 2.5mm. No lymphadenopathy present. Chest X-ray is negative.
SEER=_____________
TNM=
a. pT2 N0 M0 Stage I
b. pT3a N0 M0 Stage II
c. pT3b N0 M0 Stage II
d. pT4 N0 M0 Stage III
7. 52 y/o male with papillary transitional carcinoma of the bladder which extends focally in to the superficial muscular layer. CT of pelvis negative for lymphadenopathy and bone scan negative.
SEER=_____________
TNM=
a. T1 N0 MO Stage I
b. T2a N0 M0 Stage II
c. T2b N0 M0 Stage II
d. T3a N0 M0 Stage III
8. 81 y/o female with 3.5cm rectal adenocarcinoma that perforates the visceral peritoneum and has 5 of 8 superior rectal nodes positive for metastasis, and liver biopsy positive for metastatic adenocarcinoma.
SEER=_____________
TNM=
a. T3 N2 M1 Stage IV
b. T4 N2 M1 Stage IV
c. T3 N1 M1 Stage IV
d. T4 N1 M1 Stage IV
9. 42 y/o male with a malignant melanoma on the back that extends 1.34mm. Chest x-ray negative for masses or lymphadenopathy.
SEER=______________
TNM=
a. pT1 N0, M0 Stage I
b. pT2 N0 M0 Stage I
c. pT3a N0 M0 Stage II
d. pT3b N0 M0 Stage II
10. 68 y/o male diagnosed with Gleasons scale 5/10 adenocarcinoma of the prostate. The malignancy involves both lobes, but bilateral pelvic lymph nodes negative and bone scan negative as well.
SEER=______________
TNM=
a. T2a N0 M0 Stage I
b. T2b N0 M0 Stage I
c. T2b N0 M0 Stage II
d. T3 N0 M0 Stage III
1. SEER=1, a
2. SEER=4,b
3. SEER=1,b
4. SEER=1,c
5. SEER=5,b
6. SEER=1,b
7. SEER=1,b
8. SEER=7,b
9. SEER=1,b
10.SEER=1,c