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The accuracy of the revised 2010 TNM classication in

predicting prognosis in patients treated for renal cell cancer


in the North East of England

1. In the 2010 TNM for renal cell carcinoma, pT3a tumours


consist of:

a.

Contiguous adrenal invasion

b.

Invasion of inferior vena cava below


diaphragm

c.

Invasion of renal vein

d.

Tumour size less than 7 cm

e.

Invasion of inferior vena cava above


diaphragm

Your

Correct

answer

answer

2. Renal cancers are divided into pT2a and pT2b (2010 TNM)
based on a size cut off of:

a.

7 cm

b.

8 cm

c.

9 cm

d.

10 cm

e.

12 cm

Your

Correct

answer

answer

3. Direct adrenal invasion in the 2010 TNM for renal cancer is


classied as:

a.

pT2

b.

pT3a

c.

pT3b

d.

pT3c

e.

pT4

Your

Correct

answer

answer

4. Concerning histological subtypes of renal cell cancer (RCC):


Your

Correct

answer
a.

Clear cell RCC accounts for 50% of


RCC

b.

Papillary RCC accounts for 30% of


RCC

c.

Collecting duct tumours carry better


prognosis

d.

Chromophobe RCC can be divided


into different subtypes (1 and 2)

e.

Chromophobe RCC accounts for 5%


of RCC

answer

5. Factors predicting favourable prognosis in metastatic renal


cell carcinoma include:

a.

Absence of nephrectomy

b.

Low haemoglobin

c.

High sodium

d.

Low Karnofsky performance status


(<80%)

Your

Correct

answer

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e.

Low corrected serum calcium

2015 BMJ Publishing Group Ltd

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