First three Questions are free, rest are for Premium Members
Q1) Carcinoma Penis invading into the Corpora Spongiosum is ?
a) T1a
b) T1b
c) T2
d) T3
Ans is c, T2
TX: The primary tumor cannot be evaluated.
T0 (T plus zero): There is no tumor.
Tis: An early, noninvasive precancerous growth. This is also called carcinoma in situ.
Ta: A noninvasive squamous cell carcinoma located in only 1 area.
T1: The tumor has grown into 1 of more outer layers of the penis. Depending on where on the penis the cancer is growing, these may include the lamina propria, the layer of skin called the dermis, the dartos fascia, or the connective tissue underneath the skin. This stage may also be divided into 2 substages based on the grade of the tumor and whether it has grown into blood vessels, lymph vessels, or nerves:
T1a: The tumor has not grown into blood vessels, lymph vessels, or nerves and is not high grade or G3 (see above).
T1b: The tumor has grown into blood vessels, lymph vessels, and/or nerves and is high grade (G3).
T2: The tumor has grown into the corpus spongiosum It may or may not have grown into the urethra.
T3: The tumor has grown into the corpora cavernosum. It may or may not have grown into the urethra.
T4: The tumor has grown into other nearby structures such as the pubic bone, the scrotum, or the prostate.
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Q 2) NSGCT post BEP, Residual Retroperitoneal mass of 2 cm. What will be the further treatment. A. Observe B. Complete RPLND C. Two cycles of BEP D. Radiotherapy
Ans B
Lymph node size is 2 cm which makes it N2,
N2 means stage IIB or II C
For NSGCT stage IIA, either primary RPLND (in patients with normal levels of tumor markers) or three or four cycles of cisplatin-based chemotherapy is standard; for stage IIB, three or four cycles of cisplatin-based chemotherapy is standard, followed by RPLND or surveillance
Q3) Origin of prostatic carcinoma is from which zone A. Transition zone B. Peripheral zone C. Central zone D. AMS
Ans3 b
The peripheral zone constitutes 70% of the prostate gland and is the area palpated during digital rectal examination (DRE).
The area around the ejaculatory ducts is called the central zone and accounts for 25% of the gland.
The transitional zone comprises 5% of the prostate gland around the urethra. In a pathologic review of 104 prostate glands from patients who underwent radical prostatectomy, 68% of the cancers were located in the peripheral zone, 24% in the transitional zone, and only 8% in the central zone. Almost all stage T1 (nonpalpable) cancers in that study were found in the transitional zone
Ref Anderson 818
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