Bladder Cancer

Q) What is the most suitable treatment option for non muscle-invasive bladder cancer with the risk of recurrences?

A)Cystectomy

B)Intravesical chemotherapy

C)Transurethral resection and adjuvant intravesical chemotherapy

D)Palliative therapy

Answer-C(Schwartz-1654)

Patients with non–muscle-invasive bladder cancer (confined to the bladder mucosa or submucosa) can be managed with transurethral resection alone and adjuvant intravesical (instilled into the bladder) chemotherapy/immunotherapy.

The use of these intravesical agents is critical since patients with non–muscle-invasive bladder cancer are at risk for tumour recurrence and progression.

 

Uro Onco MCQS

Squamous cell carcinoma

Q) What is the correct regarding squamous cell carcinoma? (For oncosurgery skin MCQs see here)

A)Chronic healing wound is a risk factor.

B)Bowen's disease does not have a risk of malignant transformation.

C)In situ disease present as slightly pink or skin coloured raised plaques.

D)Imiquimod is not used as a treatment option.

Esophagus duplication cyst

Q) False statement about esophagus duplication cyst

a) Cystic form is most common  which does not  communicate with the lumen

b) Adults are mostly asymptomatic

c) Malignnat transformation is rare

d) Most commonly seen in middle 1/3 of esophagus

 

Sugiura Procedure

Q)   What is not true regarding Sugiura's procedure for Portal Hypertension

a)  It is a transesophageal variceal ligation
b) Splenectomy is done
c) Vagotomy
d) Pyloroplasty
Sugiura procedure is the nonshunting procedure for EV bleeding, which was first proposed by Sugiura and Futagawa in 1973 []. However, because of its complexity and high postoperative morbidity and mortality, this procedure has not been widely accepted in Western countries 

prognostic factor for carcinoma esophagus

Q. Most important prognostic factor for carcinoma esophagus is
 
a) Cellular differentiation                                 b) Depth of  esophagus involvement
 

c) length of  esophagus involvement            d)   age of the patient

Questions

b
Most important is depth of involvement of wall  of esophagus and lymph node involvement of the surrounding esophageal tissue.
 Length of esophagus involvement is not that important because esophagus has extensive submucosal lymph supply and for complete cure 10 cm excision margin would mean removal of almost total esophagus.