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ENT · Head and neck tumours: Kadish staging
Sample itemAn esthesioneuroblastoma involves the nasal cavity and the ethmoid and maxillary sinuses, without extension beyond them. What is the Kadish stage?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Stage B
Kadish staging of olfactory neuroblastoma is A for tumour confined to the nasal cavity, B for nasal cavity plus one or more paranasal sinuses, and C for extension beyond these, such as to the orbit, skull base or intracranial cavity. A later modification adds D for nodal or distant metastasis.
Option by option
A. Stage D
Stage D denotes nodal or distant metastasis.
B. Stage A
Stage A is confined to the nasal cavity.
C. Stage C
Stage C requires spread beyond the nose and sinuses.
D. Stage B (correct)
Correct. Nasal cavity plus paranasal sinuses is stage B.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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