A 67-Year-Old Man Comes to the Office for a Routine

question 165

Multiple Choice

A 67-year-old man comes to the office for a routine health maintenance evaluation.  He feels well and has no specific symptoms.  Vital signs are within normal limits.  Digital rectal examination reveals a firm prostatic nodule.  The patient undergoes transrectal prostate biopsy, and microscopy reveals sheets of tumor cells infiltrating the stroma with no glandular differentiation; the tumor cells have large vesicular nuclei and prominent nucleoli.  Imaging shows enlargement of several iliac lymph nodes.  Which of the following is the best description of this patient's tumor?

• A)Higher-Gleason score and higher stage
• B)Higher-Gleason score and lower-stage
• C)Lower-Gleason score and higher-stage
• D)Lower-Gleason score and lower-stage

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Definitions:

Environment

The external physical, social, and cultural factors that influence an individual's or organization's functioning and development.

Globalization

The process of interaction and integration among people, companies, and governments worldwide, leading to increased interconnectedness and interdependence.

Organizational Diversity

The inclusion of individuals with a variety of characteristics, such as cultural background, race, gender, age, and skills, within an organization.

Sovereign Nations

Independent states that have full self-governing power over themselves and are not controlled by any other external power.