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-
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