AIIMS Onco 2021 – April

AIIMS 22021 April Onco Recall Questions with answers. First three are free to see.  Be a premium member to see all 50

Onco Surgery Sitemap

Q) Stage 2 lung cancer with  positive lymph node underwent sleeve resection. What is to be done  in post operative period?
a) Prophylactic cranial irradiation
b) Chemotherapy (platin based)
c) Surveillance

d) Chemo RT

Ans B Chemo

Early stage Cancer (No) - Upfront surgery

Stage I or II or T3No  treatment is surgery Plus chemo

Stage IIIa Chemo RT + minus Surgery

Ref Anderson 333

Q) Post menopausal CA endometrium Risk factors all except
a) Smoking
b) Obesity
c) Lynch syndrome
d) Chronic an ovulation

Lynch syndrome cancers, including endometrial, colorectal, and ovarian cancer.

Other risk factors for endometrial cancer include obesity, nulliparity, early menarche, late menopause, unopposed estrogen therapy, and chronic diseases such as diabetes mellitus and hypertension

Ref Anderson page 881

Q ) Ca ovary 7cm with omental metastasis  (1-2cm) What will be FIGO staging-





Ans c) IIIB 

FIGO staging of ovarian cancer 

FIGO staging is

IIIIB Macroscopic peritoneal metastasis beyond the pelvis 2 cm or less in greatest dimension with or without positive retroperitoneal lymph nodes

IIIA - Microscopic Peritoneal metastasis

IIIC - Macroscopic peritoneal metastasis beyond the pelvis >2 cm in greatest dimension including extension to liver capsule or spleen without parenchymal involvement of those organs and with or without positive retroperitoneal lymph nodes

Q3.) Soft tissue sarcoma  with  early lymph node metastasis is 

a) Pleomorphic sarcoma
b) MFH
c) Angio sarcoma

d) all

Ans c)

In Sarcoma lymph node metastasis is rare in (<5%), except in a few histologic subtypes such as
1. epithelioid sarcoma

2. rhabdomyosarcoma

3. clear-cell sarcoma,

5.Undifferentiated pleomorphic sarcoma (UPS).

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