FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
SURGICAL ONCOLOGY
PAPER-II
SURONC/J/18/47/II
Time: 3 hours
Max. Marks:100
Important Instructions:
Attempt all questions in order.
Each question carries 10 marks.
Read the question carefully and answer to the point neatly and legibly.
Do not leave any blank pages between two answers.
Indicate the question number correctly for the answer in the margin space
Answer all the parts of a single question together.
Start the answer to a question on a fresh page or leave adequate space between two answers.
Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. Discuss in brief the different classification systems used in
gastric cancer with a note on clinical implications. Add a note on
early gastric cancer and its surgical management including the
extent of lymphadenectomy.
6+4
2. Evaluation and management of muscle invasive bladder
cancer. Add a note on bladder preservation strategies.

3. AJCC 2017 classification for endometrial cancer and its
correlation with FIGO classification.
Role of lymphadenectomy in early stage endometrial cancer
with critical review of available evidence.
5+5
4. A 40-year-old woman with recent onset of hypertension and
anxiety is found to have an adrenal mass on CECT. Discuss
differential diagnosis, preoperative evaluation, intraoperative
concerns and its management.

5. A 45-year-old man presented with 12x14 cm retroperitoneal
mass. Discuss the differential diagnosis, approach to the patient
and its management.

6. Enumerate the differential diagnosis for small blue round cell
tumour. Enumerate the immunohistochemistry markers for
confirming the diagnosis. Discuss the diagnostic evaluation and
management of Wilm's tumour in a child.

7. Discuss the probable causes, evaluation and management of
peritoneal carcinomatosis in a 50-year-old woman. Add a note
on PCI.

8. Discuss the locoregional treatment options available for
pulmonary metastasis from solid organ malignancies.
10
9. Define Pain. Discuss different types of cancer related pain, its
assessment and evaluation and management.

10. Diagnosis and management of renal cell carcinoma.
Nephron sparing surgery.