Question 7
[16]
(a) Four patients presented with suspected signs of head and neck cancer at the Katutura state
hospital. A biopsy was removed by local excision and examined. Use the correct TNM
classification to describe the four results below;
(8)
I. No information available on primary tumor, nodes not assessed and distant metastasis not
assessed
II. Carcinoma in situ at primary site, no clinically positive nodes (not palpable) and no distant
metastasis
Ill. Tumor 2-4 cm in diameter, single clinically positive ipsilateral (on same side) node less than 3
cm and no distant metastasis
IV. Tumor has invaded adjacent structures, Node or nodes greater than 6 cm and distant metastasis
is present
(b) Cancer can be staged at different times. Typically, cancer is staged when it is first diagnosed,
before any treatment is given. But in some cases, it is staged again after treatment has started.
Briefly describe the following cancer staging.
(8)
I. Clinical staging
II. Pathological staging
Ill. Post-neoadjuvant therapy (or post-therapy) staging
IV. Recurrence or retreatment staging
THE END
Biosynthetic Pathways and Molecular Biology (BPM821S) ist Opportunity November 2024
4