USMLE Forum Archives - USMLE Step 3 - cancer 2
cancer 2
bingousmle - 07-17-10 02:41
36-year-old man comes to your office for your opinion concerning adjuvant therapy for stage III (T3N1MO) colon cancer. he is diagnosed with lynch syndrome on the basis of his family history. He underwent colon surgery for cancer resection without complications three weeks ago and has now established normal bowel habits. He is taking no routine medications, and neither smokes nor drinks. After review of his pathology, you conclude that he is a candidate for adjuvant therapy. Which one of the following statements about this patient’s prognosis and surveillance is true?
A. If he develops a new primary colon cancer, he should undergo a complete colectomy
B. His risk for metastatic disease is higher than that of a similarly staged patient with no family history of colon cancer
C. Performing routine CT scans and chest radiographs for five years postoperatively will increase the likelihood of improved survival
D. Adjuvant chemotherapy will have significantly less benefit than for a similarly staged patient without a family history of colorectal cancer
E. Surveillance sigmoidoscopies should be performed every three to five year
bingousmle - 07-17-10 02:41
36-year-old man comes to your office for your opinion concerning adjuvant therapy for stage III (T3N1MO) colon cancer. he is diagnosed with lynch syndrome on the basis of his family history. He underwent colon surgery for cancer resection without complications three weeks ago and has now established normal bowel habits. He is taking no routine medications, and neither smokes nor drinks. After review of his pathology, you conclude that he is a candidate for adjuvant therapy. Which one of the following statements about this patient’s prognosis and surveillance is true?
A. If he develops a new primary colon cancer, he should undergo a complete colectomy
B. His risk for metastatic disease is higher than that of a similarly staged patient with no family history of colon cancer
C. Performing routine CT scans and chest radiographs for five years postoperatively will increase the likelihood of improved survival
D. Adjuvant chemotherapy will have significantly less benefit than for a similarly staged patient without a family history of colorectal cancer
E. Surveillance sigmoidoscopies should be performed every three to five year
The correct answer and explanation will be available after you answer.
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#1
Re: cancer 2 babbu5508 - 07-19-10 01:28 My answer is: c.
C. Performing routine CT scans and chest radiographs for five years postoperatively will increase the likelihood of improved survival...i doubt but goin with it.
#7
Re: cancer 2 babbu5508 - 08-30-10 02:26 A. If he develops a new primary colon cancer, he should undergo a complete colectomy.....he is diagnosed with lynch syndrome
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