skip to main content

Non-small cell lung cancer — MCCQE Part 1 MCQ

Instant feedback + full explanation. One question, done properly.

HardCoughNon-small cell lung cancerMCCQE Part 1

A 66-year-old man with 40-pack-year history has haemoptysis and weight loss x 3 months. CT: 4cm right hilar mass with ipsilateral mediastinal LAD. Biopsy: squamous cell carcinoma. PET: no distant mets. Most appropriate staging?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Stage IIIA (T2N2M0)

4cm tumour (T2) + ipsilateral mediastinal nodes (N2) + no mets (M0) = Stage IIIA. May be amenable to chemoradiation +/- surgery. Pathological N2 confirmation (EBUS-TBNA) important.

Reference: Cancer Care Ontario/Canadian Lung Cancer Guidelines