A 62-Year-Old Female Smoker Is Distraught at Her Recent Diagnosis

A 62-year-old female smoker is distraught at her recent diagnosis of small cell lung cancer (SCLC) . How can her physician most appropriately respond to her?

A) "I'm sure this is very hard news to hear, but be aware that with aggressive treatment, your chances of beating this are quite good."
B) "This is very difficult to jear, I'm sure, and we have to observe to see if it spreads because that often happens."
C) "I'm very sorry to have to give you this news; I'd like to talk to you about surgical options, however."
D) "This is a difficult diagnosis to receive, but there is a chance that the cancer may go into remission."