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    MCQ Explainatory Answer: According To TNM Criteria, T2: Tumor 2 CM But 5 CM in

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    Patey's modification of radical mastectomy involves removing all breast tissue, skin, and lymph nodes while sparing the pectoralis major muscle. Inflammatory carcinoma is the most malignant type of breast cancer and presents with symptoms mimicking acute mastitis. A breast cancer tumor larger than 2 cm but less than 5 cm in size that has spread to fixed lymph nodes is classified as Stage III cancer according to TNM criteria.

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    MCQ Explainatory Answer: According To TNM Criteria, T2: Tumor 2 CM But 5 CM in

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    AbhishiktaAbhi
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    Patey's modification of radical mastectomy involves removing all breast tissue, skin, and lymph nodes while sparing the pectoralis major muscle. Inflammatory carcinoma is the most malignant type of breast cancer and presents with symptoms mimicking acute mastitis. A breast cancer tumor larger than 2 cm but less than 5 cm in size that has spread to fixed lymph nodes is classified as Stage III cancer according to TNM criteria.

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    Patey's modification of radical mastectomy involves removing all breast tissue, skin, and lymph nodes while sparing the pectoralis major muscle. Inflammatory carcinoma is the most malignant type of breast cancer and presents with symptoms mimicking acute mastitis. A breast cancer tumor larger than 2 cm but less than 5 cm in size that has spread to fixed lymph nodes is classified as Stage III cancer according to TNM criteria.

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    141 views3 pages

    MCQ Explainatory Answer: According To TNM Criteria, T2: Tumor 2 CM But 5 CM in

    Uploaded by

    AbhishiktaAbhi
    Patey's modification of radical mastectomy involves removing all breast tissue, skin, and lymph nodes while sparing the pectoralis major muscle. Inflammatory carcinoma is the most malignant type of breast cancer and presents with symptoms mimicking acute mastitis. A breast cancer tumor larger than 2 cm but less than 5 cm in size that has spread to fixed lymph nodes is classified as Stage III cancer according to TNM criteria.

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    of 3

    MCQ

    EXPLAINATORY ANSWER

    33.Pateys modification of radical


    mastectomy involves removal of
    following except:
    A. Pectoralis minor muscle and its
    covering fascia
    B. Axilary vein
    C. the skin surrounding the
    carcinomatous zone
    D. pectoralis major muscle with fascia
    Ans:D

    Removal of all breast tissue, nippleareolar complex, skin, level I and level
    II
    , axillary nodes Pateys
    modification: Divide and remove the
    pectoralis minor. Level
    I,II,III nodes
    can be removed. In Pateys pectoralis
    major will not be removed.
    Ref: Bailey & loves short practice of
    surgery,
    Edited by Norman S. Williams
    Christopher J.K. Bulstrode
    P. Ronan OConnell. 26th edition,
    Pg.813

    MCQ
    34.Mc Govern nipple is:
    A. Secondaries in breast
    B. Spread of Ca breast to opposite
    side
    C. Radical mastectomy but nipple
    preserved
    D. Used for choanal atresia
    Ans: D

    EXPLAINATORY ANSWER
    A large nipple can be modified by
    having its intraoral tip cut off to create
    a patent oral passage.This Mc Govern
    nipple can then be attached to ties
    placed around occiput.This method is
    used to establish an oral airway.
    Ref: Rhinology and facial plastic
    surgery
    Edited by Fred J.Sticker,Chris de
    Sousa,Guy S.Kenyon,Timothy
    S.Lian,Wolfgang Drag,Bernhard
    Schick,2nd edition,pg.687

    MCQ
    35.Most malignant type of carcinoma
    breast is:
    A. Pagets disease
    B. Anaplastic carcinoma
    C. Scirrhouss carcinoma
    D. Atrophic Scirrhouss carcinoma
    E. Mastitis carcinomatosa
    Ans: E

    EXPLAINATORY ANSWER
    Inflammatory carcinoma/Lactating
    carcinoma/Mastitis carcinomatosis:
    Most malignant type of carcinoma
    breast. It is 2% common. It is
    common in lactating women or
    pregnancy. It mimics acute mastitis
    because of its short duration, pain,
    warmth and tenderness.
    Ref: SRBs manual of surgery,3rd
    edition, by Sriram Bhatt
    M,Pg.469,491-493.

    MCQ
    36.Carcinoma of breast 4cm. in size
    fixed to the pectoralis muscle would

    EXPLAINATORY ANSWER
    According to TNM criteria ,
    T2: Tumor >2 cm but <5 cm in

    qualify as:
    A. Stage I
    B. Stage II
    C. Stage III
    D. Stage IV
    Ans: C

    greatest dimension
    N2: cancer in fixed nodes
    M0:no metastasis
    Stage I T1N0M0
    Stage IIa T0N1M0, T1N1M0, T2N0M0
    Stage IIb T2N0M0, T3N0M0
    Stage IIIa T0N2M0, T1N2M0,
    T2N2M0, T3N1M0, T3N2M0
    Stage IIIb T4N0M0, T4N1M0, T4N2M0
    Stage IIIc any T, N3M0
    Stage IV any T; any N; M1

    Ref: The Washington Manual of


    Surgery,
    Mary E. Klingensmith MD
    Abdulhameed Aziz MD
    Ankit Bharat MD
    Amy C. Fox MD
    Matthew R. Porembka MD
    Department of Surgery, Washington
    University, School of Medicine, St.
    Louis, Missouri.6th edition
    Pg.617-618.
    MCQ
    37.A painless, hard swelling of breast
    in old woman is generally due to:
    A. Cancer
    B. Calcified haematoma
    C. Fat necrosis
    D. Fibroadenoma
    Ans: B

    EXPLAINATORY ANSWER
    Fibroadenoma presents as a painless
    swelling in one of the quadrants,
    which is smooth, firm, nontender, well
    localized and moves freely within the
    breast tissue. It occurs commonly in
    young females of 15-25 years age
    group.
    Traumatic fat necrosis is a painless
    swelling in the breast which is smooth,
    hard, nontender and adherent to
    breast tissue.It is mostly seen in
    middle aged women.
    Causes of hard swellings in the breast
    Carcinoma breast Antibioma
    breast Traumatic fat necrosis
    Calcified haematoma Fibroadenoma
    hard variety
    Ref: SRBs manual of surgery,3rd
    edition,by Sriram Bhatt
    M,Pg.457,460,496.

    MCQ
    38.Mondors disease is :
    A. Superficial thrombophlebitis of
    breast veins
    B. Carcinoma breast

    EXPLAINATORY ANSWER
    Mondors disease is thrombophlebitis
    of the superficial veins of the breast
    and anterior chest wall.
    Commonly involved veins -superior

    C. Filariasis of breast
    D. Premalignant breast lesion
    Ans: A

    epigastric vein, thoracoepigastric


    vein, lateral thoracic vein.
    Pathognomonic feature-- thrombosed
    subcutaneous cord, usually attached
    to the skin.
    Differential diagnosis--lymphatic
    permeation from an occult carcinoma
    of breast.
    Ref: Bailey & loves short practice of
    surgery, ,
    Edited by Norman S. Williams
    Christopher J.K. Bulstrode,
    P. Ronan OConnell.26th edition,
    Pg.8051.

    MCQ
    39.In a female patient of Breast
    Cancer with lung metastases, the
    most common presenting symptom is:
    A. Chronic cough
    B. Hemoptysis
    C. No specific complaint
    D. Dyspnoea
    Ans: C

    EXPLAINATORY ANSWER
    According to TNM classification,
    distant metastasis to lungs indicate
    stage IV.Lung metastases are usually
    asymptomatic and are associated with
    longer survival period.
    Ref: Bailey & loves short practice of
    surgery,26th edition,
    Edited by Norman S. Williams
    Christopher J.K. Bulstrode
    P. Ronan OConnell. Pg810,811
    Essentials of Breast Surgery: A Volume
    in the Surgical Foundations Series
    By Michael S. Sabel,1st edition,pg.138

    MCQ
    40.Worst prognosis in breast
    carcinoma is seen in:
    A. colloid
    B. lobular
    C. inflammatory
    D.papillary
    Ans: C

    EXPLAINATORY ANSWER
    Tubular, colloid, papillary types has
    got better prognosis. Medullary
    carcinoma has got better prognosis
    than scirrhous carcinoma because of
    lymphocytic infiltration. Invasive
    carcinoma has got worser prognosis.
    Inflammatory carcinoma breast has
    worst prognosis.
    Ref: SRBs manual of surgery,3rd
    edition,by Sriram Bhatt M,Pg.492-493.

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