Q51) Not a significant factor for prognosis in colorectal metastasis?
a) Involved lymph node in primary
b) Metachronous lesion
c) Synchronous lesion
d) Size more than 5 cm
Q52) WHich of the following is not a histological feature of Crohn disease of the bowel
a) Stricture
b) Granuloma
c) Crypt Abscess
d) Goblet cell atrophy
Q53 ) True about lymphoma of the colon
a) MOre common in females
b) Most common in 3rd and 4th decade
c) Most common site is caecum
d) T cells are most commonly involved
Ans 53) c
Lymphoma is uncommon in the colon/rectum occurring in 0.4% of patients; intestinal lymphoma and can present anywhere between the second and eighth decades of life.
Most of these lesions are intermediate to high-grade B-cell lymphomas.
Affected men outnumber women about 1.5:1
The majority of colorectal lymphomas are found in the cecum or ascending colon. More than 70% of colorectal lymphomas are proximal to the hepatic flexure.
Q54.Not a Poor risk factor according to Fong score a) Node + b) Disease free interval more than 1 yr c) 2 Liver Mets
d) Single metastasis 6 cm
Ans 54) b
Fong score is for Survival after treatment for metastatic colorectal cancer to the liver. It includes 5 variables for which score is alloted to each point
Nodal status of primary
Disease-free interval from the primary to discovery of the liver metastases of <12 months
