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6 Cards in this Set
- Front
- Back
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Glottic SCC, what makes disease T4?
When do you perform total vs. partial laryngectomy? When can you give xrt and chemo alone? |
Extralaryngeal spread, through thyroid cartilage - T4a
Perform speech perserving verticle hemi laryngectomy if <1/3 involvement of contralateral side, cord is not fixed T1 lesions can be treated without surgery, xrt and chemo alone |
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What defines the big change in management for prostate cancer?
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Extracapsular invasion, T3 disease
You can have prostate LN mets without extracapsular invasion, T2N1 for example |
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What defines big change in management for rectal CA?
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Invasion of muscularis mucosa, T3 disease
Extension to involve puborectal muscles changes surgery from LAR to APR |
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Bladder cancer T stage discriminators?
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T2 - bladder wall muscle layer
T3 - pericystic fat T4 - Prostate |
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Cervical CA, what defines stage III dz, A vs. B?
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III A - parametrial invasion
III B - hydronephrosis or bladder invasion Stage I relates to depth of endometrial invasion Stage II relates to vaginal invasion |
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RCC...
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Stage I and II - surgery
Stage III a/b/c - vein invasion, IIIc to IVC Stage IV - beyond Gerota's fascia |
