Sarcoma with early lymph node spread

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Q) Soft tissue sarcoma  with  early lymph node metastasis is (#AIIMS onco 2021  # Soft tissue sarcoma)

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,

4.angiosarcoma

5.Undifferentiated pleomorphic sarcoma (UPS).

Wilms tumor

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Q) All are true of Wilms tumor except

a) Surgery is the mainstay of treatment

b) Associated with favorable and unfavorable histology

Fibrolamellar HCC

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Q) Fibrolamellar HCC is associated with ? ( #NEET onco Questions 2020) 

a) Young age

b) No lymph node metastasis

c) Poor Prognosis

d) Occurs in setting of cirrhosis

Ans a Young age

This tumor generally occurs in younger patients without a history of cirrhosis.

Well demarcated and encapsulated and may have a central fibrotic scar

Good prognosis than HCC, probably related to high resectability rates, lack of chronic liver disease, and a more indolent course. Long-term survival can be expected in approximately 50% to 75%

Lymph nodes can be involved and associated with poor outcome

 

Lauren classification CA Stomach

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Q  Ca stomach diffuse type : True option

1) Common in men
2) Associated with blood group O
3) Lymphatic spread common
4) APC gene mutation

Ileostomy vs IPAA in PSC

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Q)  All are true regarding ileostomy and IPAAA in PSC with UC except? ( # AIIMS GI, # colon

1) PSC UC end ileostomy have risk of peristomal varices

2) IPAA for UC nd PSC-UC have same long term results

3) IPAA for PSC-UC have high chronic pouchitis