Staging and grading MCQ 14+

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• Malignant tumours are graded by
  ক

  Observing cellular differentiation

  খ

  Degree of anaplasia

  গ

  Presence of necrosis

  ঘ

  Size of the tumour

  ঙ

  TNM system
• Staging of malignant tumour
  ক

  Is more important than grading

  খ

  Is done by clinical assessment

  গ

  Varies between different organs

  ঘ

  Cannot be done for recurrence

  ঙ

  Must include histological type
• The following grading/staging are used in clinical oncology
  ক

  Ann-Arbor for lymphomas

  খ

  Gleason's for prostate carcinoma

  গ

  Broder's for squamous cell carcinoma

  ঘ

  Duke for breast carcinoma

  ঙ

  Johnson for testicular tumours
• Tumour staging involves
  ক

  Size of the tumour

  খ

  Distant spread

  গ

  Regional lymph node involvement

  ঘ

  Nuclear pleomorphism

  ঙ

  Number of mitosis
• TNM staging of a malignant tumour
  ক

  Takes account of the primary tumour size

  খ

  Is important for treatment planning

  গ

  Is only a clinical assessment

  ঘ

  Is an assessment of aggressiveness of the tumour (Gradin

  ঙ

  Cannot be done after surgery
• Grading of a malignant tumour is based on
  ক

  Cellular morphology

  খ

  Number of mitoses

  গ

  Regional lymph node metastasis

  ঘ

  Size of the tumour

  ঙ

  Distant metastasis
• Staging of a cancer
  ক

  is based on the size of the primary lesion

  খ

  is of greater clinical value than grading

  গ

  depends on the presence or absence of blood borne metastasis

  ঘ

  is based on the degree of differentiation of tumour cells

  ঙ

  is based on the number of mitoses within the tumour
• Grading of cancer is based on
  ক

  Number of mitoses

  খ

  Degree of differentiation of tumor cells

  গ

  Spreading of cancer cells to regional lymph nodes

  ঘ

  Size of primary tumor

  ঙ

  Presence of capsular invasion by tumor cells
• Grading of a malignant tumor
  ক

  Depends on differentiation

  খ

  Is a light microscopic assessment

  গ

  Is same for all organs

  ঘ

  Correlates with tumor progression

  ঙ

  Is also known as pathological staging
• Cancer staging is based on
  ক

  Lymph node involvement

  খ

  Size of primary tumour

  গ

  Metastasis

  ঘ

  Cellular differentiation

  ঙ

  Number of mitosis
• Staging of malignant disease is based on
  ক

  Size of the tumor

  খ

  Spread to regional lymph node

  গ

  Rupture of the tumor

  ঘ

  Irregularity of tumor

  ঙ

  Degree of differentiation
• Staging of cancer is/are based on
  ক

  Size of tumor

  খ

  Extent of spread to regional lymph nodes

  গ

  Metastasis to distant organs

  ঘ

  Invasion

  ঙ

  Mitosis count
• Grading of a cancer is based on
  ক

  The degree of differentiation of tumor cells

  খ

  Number of mitosis within tumors

  গ

  The size of the primary tumor

  ঘ

  The extent of spread to regional lymph nodes

  ঙ

  Presence of blood bom metastasis