Surgery · Breast (Benign, Carcinoma Breast, Staging, Treatment)

A 58-year-old woman with a 2.5 cm invasive ductal carcinoma undergoes modified radical mastectomy. Pathology shows 3 out of 15 axillary lymph nodes positive for metastasis. What is the N category in the TNM staging?

  • A N3
  • B N2
  • C N1
  • D N0
Correct answer: C. N1

Explanation

In breast cancer TNM staging, N1 denotes metastasis in 1 to 3 axillary lymph nodes. N2 is 4 to 9 nodes, and N3 is 10 or more nodes or involvement of infraclavicular nodes. With 3 positive nodes, the N category is N1. This is a fundamental staging fact frequently tested in Indian PG entrance exams.

Reference: AJCC Cancer Staging Manual, 8th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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