다음진단이나올경우가장적절한임상 - wordpress.com · 2013. 4. 9. · microsoft...

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문제 1 다음 진단이 나올 경우 가장 적절한 임상 적 치료방침은? 1. 방광경과 세포검사 통한 추적관찰 1. 방광경과 세포검사 통한 추적관찰 2. BCG 주입치료 3. 방광 절제 4. 항요법 답) 2-CIS의 기본치료 방광절제-refractory to BCG

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Page 1: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM

문제 1

• 다음 진단이 나올 경우 가장 적절한 임상적 치료방침은?

1. 방광경과 세포검사 통한 추적관찰1. 방광경과 세포검사 통한 추적관찰2. BCG 주입치료3. 방광 절제술4. 항암요법

답) 2-CIS의 기본치료방광절제술-refractory to BCG

Page 2: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM
Page 3: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM

문제 2

47세 남자 single papillary mass 가장 가능성 있는 진단은?

1. Urothelial papilloma1. Urothelial papilloma2. Urothelial neoplasm, LMP3. Urothelial ca, low grade4. Urothelial ca, high grade

답) 1- younger age, single small massSurface accentuation, edematous stromaMinimal atypia, fusion

Page 4: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM
Page 5: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM
Page 6: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM

문제 3) 남자 39세, 진단은?

1. Urothelial papilloma2. Urothelial neoplasm, LMP2. Urothelial neoplasm, LMP3. Urothelial ca, low grade4. Urothelial ca, high grade

답) 2

Page 7: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM
Page 8: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM
Page 9: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM
Page 10: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM

문제 4) 48세 남자, single mass로 가장 가능성 있는 진단은?

1. Urothelial papilloma1. Urothelial papilloma2. Urothelial neoplasm, LMP3. Urothelial ca, low grade4. Urothelial ca, high grade

답) 1>2 Small mass, surface accentuationMinimal atypia, fusion

Page 11: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM
Page 12: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM
Page 13: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM
Page 14: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM

문제 5) 남자, 50세. 진단은 ?

1. Urothelial papilloma2. Urothelial neoplasm, LMP2. Urothelial neoplasm, LMP3. Urothelial ca, low grade4. Urothelial ca, high grade

답 3

Page 15: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM
Page 16: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM
Page 17: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM

문제 6) 남자, 50세. 진단은 ?

1. Urothelial papilloma2. Urothelial neoplasm, LMP2. Urothelial neoplasm, LMP3. Urothelial ca, low grade4. Urothelial ca, high grade

답 3

Page 18: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM
Page 19: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM
Page 20: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM

문제 7) UROTHELIAL CARCINOMA 의variant 이다. 진단은? (4)

1) Infiltrating urothelial carcinoma with plasmacytoid variant

2) Infiltrating urothelial carcinoma with glandular differentiation

3) Infiltrating urothelial carcinoma with lymphoepithelioma-like variant

4) Infiltrating urothelial carcinoma with nested variant

Page 21: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM

문제 8) UROTHELIAL CARCINOMA 의variant 이다. 진단은? (3)1) Infiltrating urothelial carcinoma with nested variant

2) Infiltrating urothelial carcinoma with glandular differentiation

3) Infiltrating urothelial carcinoma with micropapillary variant

4) Infiltrating urothelial carcinoma with plasmacytoid variant

D2-40

Page 22: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM

문제9) UROTHELIAL CARCINOMA 의variant 이다. 진단은? (1)

1) Infiltrating urothelial carcinoma with microcystic variant

2) Infiltrating urothelial carcinoma with glandular differentiation

3) Infiltrating urothelial carcinoma with lymphoepithelioma-like variant

4) Infiltrating urothelial carcinoma with nested variant

Page 23: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM

문제 10) 여자, 56세, 방광암의 등급과 병기는?

1. UC LG/pT11. UC LG/pT12. UC LG/pT23. UC HG/pT14. UC HG/pT2

답) 4LP invasion and proper muscle invasion-pT2/HG

Page 24: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM
Page 25: 다음진단이나올경우가장적절한임상 - WordPress.com · 2013. 4. 9. · Microsoft PowerPoint - bladder cancer Author: HEE74 Created Date: 4/9/2013 12:00:00 AM