Re: PLEASE HELP SOLVE THIS MCQ

From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)
Tue Nov 27 07:32:48 2007


At Mon, 26 Nov 2007, Dr Manish Mandal wrote: >
>HELLO CAN ANY ONE TELL THE CORRECT ANSWER OF THIS MULTIPLE CHOICE QUESTION WITH EXPLANATION
> POST-OP RADIOTHERAPY IN A PT OP FOR CA ENDOMETRIUM IS INDICATED IN A)DEEP MYOMETRIAL INVASION B)PELVIC LYMPH NODE INVOLVEMENT C)ENLARGED UTERINE CAVITY D)POOR TUMOR DIFFERENTIATION
>
>-- DR MANISH MANDAL MEMBER OF THE GROUP http://groups.google.com/group/medicpass?hl=en
> http://groups.google.com/group/medicpass?hl=en

Classically all of the above. Post-op Radiotherpy is only to prevent local reccurence , which can make a patient miserable in terms of vaginal bleeding and mulitple transfusions, unfortuneltly it does not really change long term survival. There was a recent large review from England which questioned A and D which was the most common way of gauging without pelvic and paraortic nodes.

--
                                 Take care, John




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