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Pathology · USMLE Step 1

USMLE Pathology: Lung Cancer and Mediastinal Tumors

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

35 cards · basic cards · AI-written, checked twice. Edit anything.

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What is the most common histologic subtype of lung cancer overall?
Adenocarcinoma
Where in the lung does adenocarcinoma typically arise?
Peripherally
Which immunohistochemical marker is characteristically positive in lung adenocarcinoma?
TTF-1 (thyroid transcription factor 1)
What growth pattern describes adenocarcinoma in situ spreading along intact alveolar septa without invasion?
Lepidic growth pattern
Which lung cancer subtype is most common in lifelong nonsmokers?
Adenocarcinoma
Where does squamous cell carcinoma of the lung typically arise?
Centrally, near the hilum or major bronchi
What two histologic features characterize squamous cell carcinoma of the lung?
Keratin pearls and intercellular bridges
What paraneoplastic syndrome is classically caused by squamous cell lung carcinoma secreting PTHrP?
Hypercalcemia
Which lung cancer subtype is most often associated with central cavitation?
Squamous cell carcinoma
Where does small cell (oat cell) carcinoma of the lung typically arise?
Centrally, near the hilum
From which cell type does small cell lung carcinoma arise?
Neuroendocrine (Kulchitsky) cells
What nuclear feature is classic on histology of small cell lung carcinoma?
Salt and pepper chromatin in small cells with scant cytoplasm
Which lung cancer subtype has the strongest association with cigarette smoking?
Small cell carcinoma
What paraneoplastic syndrome results from ectopic ADH secretion by small cell lung carcinoma?
SIADH (syndrome of inappropriate antidiuretic hormone secretion)
What paraneoplastic syndrome results from ectopic ACTH secretion by small cell lung carcinoma?
Cushing syndrome

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