Complex clinical reasoning scenarios.
Theme: Bladder Cancer Staging
Scenario: A 70-year-old man has a TURBT showing high-grade urothelial carcinoma invading the muscularis propria. CT scan shows no distant metastases but suspicious pelvic lymph nodes.
What is the TNM stage?
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Answer: T2 N1 M0
Invasion into muscularis propria is T2. Suspicious single regional lymph node is N1. No distant metastasis is M0.
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