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Pathology · USMLE Step 1 · Healthcare and Nursing

USMLE Pathology: Lung Cancer and Mediastinal Tumors

Lung cancer histologic subtype classification and mediastinal tumor morphology, one finding per card.

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35 basic cards for USMLE Step 1 Pathology. Set 12 of 27 in USMLE Pathology. It opens with "What is the most common histologic subtype of lung cancer overall?" and "Where in the lung does adenocarcinoma typically arise?". Study it alongside the other USMLE Step 1 sets below.

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What is the most common histologic subtype of lung cancer overall?
Show answerAdenocarcinoma
Where in the lung does adenocarcinoma typically arise?
Show answerPeripherally
Which immunohistochemical marker is characteristically positive in lung adenocarcinoma?
Show answerTTF-1 (thyroid transcription factor 1)
What growth pattern describes adenocarcinoma in situ spreading along intact alveolar septa without invasion?
Show answerLepidic growth pattern
Which lung cancer subtype is most common in lifelong nonsmokers?
Show answerAdenocarcinoma
Where does squamous cell carcinoma of the lung typically arise?
Show answerCentrally, near the hilum or major bronchi
What two histologic features characterize squamous cell carcinoma of the lung?
Show answerKeratin pearls and intercellular bridges
What paraneoplastic syndrome is classically caused by squamous cell lung carcinoma secreting PTHrP?
Show answerHypercalcemia
Which lung cancer subtype is most often associated with central cavitation?
Show answerSquamous cell carcinoma
Where does small cell (oat cell) carcinoma of the lung typically arise?
Show answerCentrally, near the hilum
From which cell type does small cell lung carcinoma arise?
Show answerNeuroendocrine (Kulchitsky) cells
What nuclear feature is classic on histology of small cell lung carcinoma?
Show answerSalt and pepper chromatin in small cells with scant cytoplasm
Which lung cancer subtype has the strongest association with cigarette smoking?
Show answerSmall cell carcinoma
What paraneoplastic syndrome results from ectopic ADH secretion by small cell lung carcinoma?
Show answerSIADH (syndrome of inappropriate antidiuretic hormone secretion)
What paraneoplastic syndrome results from ectopic ACTH secretion by small cell lung carcinoma?
Show answerCushing syndrome

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