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Pathology · Neoplasia
Sample itemWhat is carcinoma in situ?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Full-thickness epithelial atypia without basement-membrane invasion
Carcinoma in situ shows severe epithelial dysplasia through the full thickness but has not breached the basement membrane to invade stroma.
Option by option
A. Inflammation limited to mucosa
Inflammation is not carcinoma in situ.
B. Full-thickness epithelial atypia without basement-membrane invasion (correct)
Correct: absence of invasion defines in-situ carcinoma.
C. Benign glandular hyperplasia
Hyperplasia lacks severe malignant atypia.
D. Metastatic cancer in lymph node
Lymph-node spread is metastatic disease.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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