EBCOG Part 1 Oncology – Day 1

a.Chemotherapy
b.Radiotherapy                                                                     
c.Radical hysterectomy & pelvic lymphadenectomy   
d.LLETZ   
 e.Simple hysterectomy
f.Annual smear exam
g.No further treatment
h.Intracavitary radiotherapy chemotherapy
i.ERT & brachytherapy
j.Palliative multidisciplinary care
k.Laproscopic lympadenectomy
l.Radical trachelectomy & pelvic LND
m.chemotherapy +ERT +Brachytherapy
n.subtotal hysterectomy
o.pelvic exenteration
p.cone biopsy of cervix

For each description below choose the single most appropriate answer from the above list of options. Each option maybe used once or more than once or not at all.



1.32 year old nullipara has cancer cells on routine PAP smear.subsequent colposcopy ,biopsy ,EUA ,MRI & cystoscopy show a lesion confined to cervix with dimension of 5x4.8 cm.she has been trying for a pregnancy .What is the most appropriate option.

2.30 year old nullipara has a smear showing possible cancer cells.subsequent investigations reveal a lesion confined to cervix with max dimension of 1.5cm .She has been trying for a pregnancy for past 6 months.What is the most appropriate option?

3. 56 year old ,with no previous smear presents with postmenopausal bleding.Investigations show a bulky cervical cancer with extension to bladder mucosa & spread confined to liver capsule.What is the appropriate treatment option?

4. 45 year old parous lady presents with postcoital bleeding.She has never had a smear before.She has a cervical carcinoma extending to parametrium with left sided hydronephrosis.What is the most appropriate treatment option?

5. 50 year old lady wa referred to colposcopy with severe dyskaryosis.Colposcopy showed changes consistent with cervical intra epithelial carcinoma III.LLETZ was performed.Histopathology confirmed a cervical tumour to a depth of 2mm.Excisional margins were clear of the disease.What is the most appropriate treatment option?