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Anat pat questions

Università degli Studi di Roma - La Sapienza medicine and surgery 2021
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  • 15yo man with retrosternal burning sensation after meals: most likely cause - gastroesophageal reflux disease
  • Most common neoplasm of nasal cavity: angiofibroma
  • Leukoplakia: not all are precancerous, not all must be evaluated histologically, variable percentages have dysplasia
  • Follicular thyroid cancer prognosis - irrespective of capsular/vascular invasion; papillary has great prognosis with 1-2% death rate in 20 years; medullary has 5% death in 10 years
  • Precursors of pancreatic cancer: not IPMN, Pancreatic intraepithelial neoplasia, mucinous cystadenoma
  • Cirrhosis patient who stopped drinking still at risk for - hepatocellular carcinoma (HCC)
  • Pleomorphic adenoma of salivary glands: common in 60% of cases, contains a partial capsule, not a teratoma
  • Oligodendroglioma characteristics: 1p-19q+, located in cerebral hemispheres, presents calcifications (A+C+D)
  • 31yo girl with abundant adipose tissue in bone marrow biopsy: myelofibrosis
  • Follicular lymphoma: usually extranodal, involves BM in 80% of cases, derived from mature B cells
  • Burkitt lymphoma: affects people under 65, endemic type involves EBV, rapid onset varying by site of origin
  • Worse prognosis for colorectal cancer - right colon
  • Sessile serrated adenoma: more common on the right colon, associated with CIMP pathway, arises from high-risk pathway
  • Primary myelofibrosis: associated with proliferation of myeloid cells; chronic myeloproliferative conditions can have spent phase and peripheral cytopenia
  • Follicular lymphoma: involves naive lymphocytes, present in BM in 80% of cases, aggressive course
  • MSI analysis useful for - diagnostic, prognostic, therapeutic value; high-grade 2 CRC responds poorly to 5-FU chemotherapy
  • Hashimoto's thyroiditis diagnosis - germinal center involvement; possible complications: papillary carcinoma, extranodal MZL, nodal marginal lymphoma
  • MEN1 affected organs - pituitary, pancreas, parathyroid
  • NEN characteristics: appendix and intestinal NEN mostly aggressive, pancreatic NEN worse than G1 ones, jejunal and ileal NEN mos

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