Q) Post Lap Cholecystectomy Gall bladder shows Carcinoma with muscle layer involvement. No lymphatic or blood vessel involvement. Management is?
a) Close observation
b) Radical cholecystectomy
c) Port site excision
d) Adjuvant chemotherapy
Ans ) b
GI Onco
Malignancy risk in choledochal cyst
Q Risk of cancer in un resected choledochal cyst ( AIIMS 2020 GI)
a. 30 %
b. 20 %
c. 50%
d. 5%
GIST Stomach
Q ) Antral GIST 1cm incidentally found on UGIE. True regarding its management
a) Surgical resection resection of GIST (More questions on GIST here)
b) Endoscopic resection
c) Resection required if EUS suggests irregular border with cystic spaces
d) Endoscopic surveillance, if size >2cm then resect
Answer ( You need to be a premium member to see this)
GIST are usually found in the stomach (40% to 60%), small intestine (30%), and colon (15%). Clinically they appear in patients older than 50 years.
They generally have an equal male-to-female ratio or a slight male predominance.
They are rarely associated with familial syndromes such as GISTparaganglioma syndrome (Carney triad), neurofibromatosis 1, and von Hippel-Lindau disease, but most develop de novo.
CDH 1 mutation
Q ) Hereditary diffuse Gastric carcinoma is associated with which breast cancer
A. Ductal carcinoma NOS subtype
B. Lobular carcinoma
C. DCIS
D. Metaplastic carcinoma
Answer for Q 79
Majority of Gastric Cancers are sporadic,
1–3% of GCs arise as a result of inherited cancer predisposition syndromes.
Li-Fraumeni syndrome, Lynch syndrome, Peutz-Jeghers syndrome, hereditary breast and ovarian cancer,1MUTYH-associated adenomatous polyposis (MAP), familial adenomatous polyposis, juvenile polyposis syndrome and PTENhamartoma tumour syndrome (Cowden syndrome).
Cystic tumors of pancreas- Site and age
Q. Large cystic mass in the body and tail of pancreas in a young female, What is it? ( NEET 2018)
a) Serous cystic neoplasm
b) Mucinous cystic neoplasm
c) IPMN, Intraductal pancreas mucinous tumor
d) SPEN - Solid pseudopapillary Epithelial Neoplasm of pancreas
Association of Carcinoma Esophagus
Q) Adenocarcinoma of esophagus is associated with which of the following? ( #All Esophagus MCQS)
a) Achalasia cardia
b) Barrett's disease
c) Human Papilloma virus (HPV)
d) Alcohol use