Carcinoma Of Prostate

Carcinoma of prostate

Q. 1 Which is the most common site of carcinoma prostate?

 A

Peripheral

 B

Centre

 C

Verumontum

 D

None of the above

Q. 1

Which is the most common site of carcinoma prostate?

 A

Peripheral

 B

Centre

 C

Verumontum

 D

None of the above

Ans. A

Explanation:

85% of prostate carcinoma arise from the peripheral zone.
Ninety five percent of tumors are adenocarcinoma.
Prostate carcinoma rarely occur before the age of 40 years, and the incidence increases with age. 

  • PSA is elevated in 60% of men with prostate cancer. Levels above 4ng/ml is considered abnormal.
  • Levels of PSA can be elevated with age and BPH. 
  • Falsely elevated PSA can be seen following cystoscopy, prostate biopsy, or urethral catheterization.
  • PSA is not elevated following digital rectal examination.

Ref: CURRENT Diagnosis & Treatment: Surgery, 13e, chapter 38


Q. 2

Trans rectal ultrasonogram in evaluation of carcinoma prostate most useful for:

 A

Taking guided biopsy

 B

Identifying seminal vesicle invasion

 C

Nodal sampling

 D

Measuring the extent of invasion

Q. 2

Trans rectal ultrasonogram in evaluation of carcinoma prostate most useful for:

 A

Taking guided biopsy

 B

Identifying seminal vesicle invasion

 C

Nodal sampling

 D

Measuring the extent of invasion

Ans. A

Explanation:

Ans. is ‘a’ Taking guided biopsy 

“TRUS is the imaging technique most frequently used to assess the primary tumor, but its chief use is directing prostate biopsies, not staging” – Harrison

  • Thus primary role of TRUS is guiding prostate biopsies
  • Other uses are

– assessing extent of invasion if cancer is detected.

– measurement of prostate volume which is needed in the calculation of the PSA density. – also used in performance of cryosurgery & brachytherapy.


Q. 3

Which is not used in carcinoma prostate ‑

 A

Estrogen

 B

Progesterone

 C

Cyproterone acetate

 D

Flutamide

Q. 3

Which is not used in carcinoma prostate ‑

 A

Estrogen

 B

Progesterone

 C

Cyproterone acetate

 D

Flutamide

Ans. C

Explanation:

Ans. is ‘c’ i.e., Conservative treatment 

Quiz In Between


Q. 4

In carcinoma prostate with matastasis which is raised

 A

ESR

 B

Alkaline phosphatase

 C

Acid phosphatase

 D

All

Q. 4

In carcinoma prostate with matastasis which is raised

 A

ESR

 B

Alkaline phosphatase

 C

Acid phosphatase

 D

All

Ans. B

Explanation:

Ans. is ‘b’ i.e., Alkaline phosphatase 


Q. 5

70 year old man with Ca.prostate with osteoblastic secondaries in pelvis and lumbar vertebra showed well differentiated Adeno Carcinoma prostate on needle biopsy. He is idealy treated by –

 A

Radical prostectomy

 B

TURP

 C

Radiation

 D

Hormonal manipulation

Q. 5

70 year old man with Ca.prostate with osteoblastic secondaries in pelvis and lumbar vertebra showed well differentiated Adeno Carcinoma prostate on needle biopsy. He is idealy treated by –

 A

Radical prostectomy

 B

TURP

 C

Radiation

 D

Hormonal manipulation

Ans. D

Explanation:

Ans. is ‘d’ i.e., Hormonal manipulation 

Quiz In Between



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