WACS 2017 Session 1

1. Clinician-Performed Thyroid Fine Needle Aspiration with On-site Review Improves Diagnostic YieldOrphan Annie eye nuclear inclusions (nuclei with uniform staining, which appear empty) and psammoma bodies are classically seen on light microscopy in __________ thyroid cancer.

Medullary

Papillary

Anaplastic

Follicular

2. Lymphadenectomy in Resected Node-Negative Pancreatic Cancer: Are Some Patients Being Understaged ?What is the proposed benchmark for appropriate lymph node harvest in pancreatectomy ?

5

10

15

20

3. Clinical, radiologic, and pathologic factors associated with obtaining negative margins in distal pancreatectomies for adenocarcinoma: single-center results as part of a multi-institutional reviewA 57 year-old diabetic male presents with an incidentally-discovered pancreatic tail mass, and undergoes a distal pancreatectomy for presumed adenocarcinoma. What is the standard minimum margin for the resection to be considered R0?

0.5 mm

1 cm

5 mm

1 mm

4. Outcomes of Colorectal Resection for Gynecologic Malignancy: A Report from the Washington State Surgical Care and Outcomes Assessment ProgramWhich of the following does not affect complications following colorectal resection for primary gynecologic malignancies?

Bowel prep

Surgeon experience

Neoadjuvant therapy

Radiation therapy

5. Understanding and Resetting Radiosensitivity in Rectal CancerA 45-year-old female has an ulcerated mass 8cm from the anal verge. Biopsy demonstrates invasive adenocarcinoma. An MRI demonstrates stage III (T2N1) cancer. Neoadjuvant chemoradiotherapy is started.

The addition of chemotherapy to pre-operative radiation therapy improves overall survival.

There is overall survival benefit to preoperative versus postoperative chemoradiotherapy.

The addition of neoadjuvant systemic chemotherapy increases the rate of pathologic complete response.

Adherence to standard neoadjuvant chemoradiation treatment is independent of hospital geographic location.

6. Sentinel Lymph Node Biopsy in Elderly Women with Hormone Receptor Positive Breast Cancer: Do Results Influence Treatment?You are seeing a 73 year old female for treatment of a newly diagnosed breast cancer. Which of the following is a factor that makes sentinel lymph node biopsy strongly indicated in this patient?

She reports that she will refuse adjuvant endocrine therapy.

Her tumor is estrogen receptor positive.

She has no palpable axillary lymph nodes.

She reports that she will refuse adjuvant chemotherapy.

7. Intraoperative radiotherapy for management of ductal carcinoma in situ of the breast: a single center experience.What is a selection criteria for appropriate patients?

Multifocal disease

Age >50

Invasive cancer

Unifocal DCIS

8. Intraoperative Radiation Therapy: A Treatment Option for Patients with Invasive CancersNeed for additional therapy is associated with

Higher rate of cancer recurrence

Higher rate of surgical site complications

Reduced survival

Increased hospital length of stay

9. Circulating MФ-cancer cell hybrids to detect disease status in cancer patients.What are the unique acquired properties of the hybrid cells?

Tumorigenicity

Migratory behavior

Extra tumor markers

Chemotherapy evasion

Wacs 2017 Session 1