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Q. A 60-year-old man has an ulcerating carcinoma of the lateral side of the tongue. Which one of the following features has the most important effect upon his management?
A He smokes 30 cigarettes daily.
B He has a hard cervical lymph node 1.5 cm in diameter.
C The tumor measures 2 cm in diameter.
D The tumor is a squamous cell carcinoma.
E He has severe dental caries
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i dont know about the right answer but my mind says to go with BB
Because if the patients having involvment of deep cervical lymph nodes will add further management to remove these too....
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from step 1 goljan
treatment and prognosis depend upon TNM stage of the cancer
so out here lymph node involvement
b
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If you didn't know the answer was B my advice for you is to go and review what cancer is and how cancer spreads, and as this person above me said, review what TNM staging is. I don't think the step 2 asks many questions asking you to stage specific tumors, but they definitely want you to have a general idea of what makes one cancer a higher stage than another.
