Lymphatic Spread carcinoma Prostate

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MCQ on Most Common Lymph Node Involved in Prostate Carcinoma
Q) Most common lymph node involved in carcinoma prostate is
✅ Answer: A. Obturator

🔍 Explanation:
The most common lymph node involved in **prostate carcinoma** is the **obturator lymph node**.

Lymphatic spread may occur via lymphatic vessels that pass to the **obturator fossa**, along the sides of the rectum to the lymph nodes near the **internal iliac vein** and in the hollow of the sacrum.

Additionally, lymphatics pass over the **seminal vesicles** and follow the **vas deferens** for a short distance to drain into the **external iliac lymph nodes**.

From the retroperitoneal lymph nodes, the **mediastinal nodes** and occasionally the **supraclavicular nodes** may become implicated.

🧠 Key Point: **Obturator lymph nodes** are the first to be affected in prostate cancer due to the nature of lymphatic drainage from the prostate.

📘 Reference: NEET SS 2022 Paper

Testicular cancer

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Q) Which of following testicular cancer will increase Overall Survival  by Lymph Node  dissection?

a) Seminoma

b) Embryonal cell

c) Yolk Cell

d) Sertoli cell

Surgery MCQs for MCH – NEET SS

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NEET SS Surgery MCQs, Mock Tests & Question Bank | MCQSurgery

NEET SS Surgery MCQs, Mock Tests & Question Bank

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Flaps • Grafts
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Hereditary Risk of Ca Stomach

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Hereditary Risk Factors for Gastric Cancer MCQ | mcqsurgery.com
Q) Which of the following is a hereditary risk factor associated with carcinoma of the stomach?
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Small Bowel NET

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Q) 45 year old male with 2 cm Jejunal Neuroendocrine tumor ( NET).

Dota Scan Shows no metastasis What would be the best management in him?

a) Octreotide

b) Resection & Anastomoses of jejunum

c) Resection and Anastomoses with mesenteric excision

d) Radiotherapy

 

Small Bowel Adenocarcinoma & its Risk Factors

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Small Bowel Adenocarcinoma MCQ
Q) Which of the following is not a risk factor / least associated with small bowel adenocarcinoma?
a) Familial adenomatous polyposis (FAP)
b) Hereditary nonpolyposis colorectal cancer
c) Peutz-Jeghers syndrome
d) Juvenile polyposis coli
Correct Answer: d) Juvenile polyposis coli
Explanation: Juvenile Polyposis Coli is least associated with small bowel adenocarcinoma. Risk factors for Small Bowel Adenocarcinoma: 1. Hereditary polyps: - Familial adenomatous polyposis (FAP) - Hereditary nonpolyposis colorectal cancer - Peutz-Jeghers syndrome 2. Inflammatory and metabolic: - Crohn disease - Gluten-sensitive enteropathy (celiac sprue) - Prior peptic ulcer disease - Cystic fibrosis - Biliary diversion (e.g., previous cholecystectomy) 3. Lifestyle: - Smoking - Heavy alcohol use (>80 g/day ethanol) - Red meat/salted food intake 4. Genetic: - Kras - 5q (APC gene) - 17q (p53 gene) - 18q - DPC4 - SMAD4 - MSI-H (Microsatellite Instability-High)
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