A Patient Whose Cancer Has Been Staged at T4 N2

A patient whose cancer has been staged at T4 N2 M2 has been assigned for care.What is the best interpretation of this staging information in planning care for this patient?

A) The primary tumor has shrunk, although some lymph nodes remain involved. Teach the patient that this is good news.
B) The primary tumor has now responded to a combination of chemotherapy and radiation. The patient should now receive much less analgesic medication.
C) The primary tumor is quite large and has extended to lymph glands and distant areas. Gentle touch and therapeutic listening will be especially helpful.
D) After the series of radiation treatments, the distant metastases are still present. Prepare the patient to accept only the cure of the primary tumor.