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TEST YOUR KNOWLEDGE: Can You Diagnose Lyman?


Lyman is a 75-year-old former smoker, married, retired computer developer with a history of asthma, hypertension and diabetes, and presents with a cough.

Physical Exam:

  • Older, fit, male, PS 1
  • Osteoarthritis of hands
  • Lungs clear
  • Adenopathy
  • Decreased sensation in fingertips and toes

Labs: Normal

PET/CT: FDG-avid RUL mass
1. Which sampling technique would you use first to stage Lyman’s condition? *This question is required.
2. What is the minimum number of needle passes at each site to ensure adequate tissue for diagnosis and molecular testing? *This question is required.