. Step 7 of 41
Clinical Stem 3
A patient with right upper lobe adenocarcinoma progressing on biomarker-directed therapy

The Case Continues
Because sonography was not available, a surgical consultation was obtained and mediastinoscopy was performed. Lymph nodes at station 4R and 4L were positive for adenocarcinoma. The patient's tumor was staged T2a N3 M0 (stage IIIB).
Each fictitious clinical case scenario is based on a conglomerate of real patient data. Cases have been modified to avoid any possibility for patient identification and to help meet educational objectives. Any resemblance to real persons, living or deceased, is purely coincidental.

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