Compensatory and adjustment processes. 4 page

A 55-year-old woman had a relapse uterine bleeding. A diagnostic smearing from the uterine mucosa was made. There, among blood elements, different form and size glandular elements were seen. They were formed of atypical cells with hyperchromic nuclei and have many mitoses (including pathological). What process can we think of?

@Adenocarcinoma

Glandular hyperplasia of endometrium

Chorionepithelioma

Adenomatous polyp

Indications of breaked off pregnancy

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A female patient in a climacteric period presented with relapsing uterine bleedings. The diagnostic curettage of a uterus is executed. Microscopical investigation showed among blood glandular elements of different size and forms created by atypical cells with hyperchromatic nuclei numerous mitoses (including pathological). What is the most likely pathology?

@Adenocarcinoma

Glandular hyperplasia of endometrium

Choriocarcinoma

Adenomatous polypus

Signs of the interrupted pregnancy

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A 70-year-old healthy man is found to have a palpable firm nodule in the prostate gland on digital rectal examination. His serum prostate specific antigen (PSA) is found to be 19 ng/mL. The microscopic appearance seen on biopsy of the prostate will probably be most consistent with which of the following conditions:

Chronic prostatitis

@Adenoearcinoma

Infarction

Leiomyoma

Rhabdomyosarcoma

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A 45-year-old woman has an enlarged, non-tender lymph node that on biopsy reveals a metastatic neoplasm. Which of the following is the most likely primary neoplasm:

Cerebral glioma

@Adenocarcinoma of the colon

Fibroadenoma of the breast

Liposarcoma of the retroperitoneum

Laryngeal papilloma

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A 59-year-old man went to his physician for a routine health maintenance examination. The only abnormal physical examination finding is a positive stool guaiac test. Laboratory studies show a CBC with Hgb 10.0 g/dL, Hct 29.S&, MCV 73 fL, platelet count 300,000/microliter, and WBC count 8700/microliter. He is found on colonoscopy to have a 4 cm mass lesion arising on the mucosal surface of the transverse colon. Which of the following statements is most appropriate regarding these findings?

This is an uncommon site for a primary malignant neoplasm

@Microscopically, the mass is probably an adenocarcinoma

Persons who are smokers are at much greater risk to develop this lesion

Hypercalcemia is a frequent paraneoplastic complication

The predicted 5 year survival rate is less than 5%

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A 60-year-old woman has a firm mass with irregular borders felt in her left breast on a routine physical examination. A fine needle aspiration is performed and microscopic examination shows an infiltrating ductal carcinoma. A left mastectomy with axillary lymph node dissection is performed. A tissue sample of this neoplasm is submitted for microscopy. Which of the following does flow hystologicaly most likely provide?

Squamous cell carcinoma with keratinisation

Squamous cell carcinoma without keratinisation

Mucous carcinoma

@Adenocarcinoma

Fibrous cancer

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A 64-year-old man has has noted a 10 kg weight loss along with increasing fatigue over the past year. He has experienced dull abdominal pain for the past week. He has developed abdominal distention with lack of stools in the past two days. On physical examination, bowel sounds are reduced. An abdominal CT scan reveals a mass involving the descending colon. At laparotomy, a partial resection of the left colon is performed, with removal of an encircling mass in the descending colon. Microscopically, the mass is found to be a high differentiated adenocarcinoma. Which of the following morphological type is most likely to be present in this man?

@Tubular structures

Trabecular structures

Mucous

Cancer’s perles

Cellular atipism

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Histologic section from a 3 cm mass found in the mandible of a 55-year-old woman reveal a tumor consisting of nests of tumor cells that appear dark and crowded at the periphery of the nests and loose in the center (similar to the stellate reticulum of a developing tooth). Grossly, the lesions consist of multiple cyst filled with a thick, “motor oil” – like fluid. Which of the following is the most likely diagnosis?

Pleomorphic adenoma

Ameloblastoma

Mucoepidermoid carcinoma

@Adenoid cystic carcinoma

Acinic cell carcinoma

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During the histological examination of the stomach tumour a great amount of signet-ring cells. Name the histological variant of the cancer was diagnosed.

Sarcoma

Solid carcinoma

Adenocarcinoma

@Mucous carcinoma

Carcinoid

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A 52-year-old woman feels a lump in her right breast and goes to her physician. On physical examination there is a 3 cm right breast mass fixed to the chest. This mass is biopsied and on microscopic examination shows nests of cells with marked hyperchromatism and pleomorphism. Which are surrounded by connective stroma tissue in a great a mount. Name histological type of tumor:

Adenocarcinoma

@Skirrhous cancer

Trabecular cancer

Medullar cancer

Undifferentiated cancer

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A 45-year-old woman has a small tumor of her left breast. Histological examination of a breast biopsy revealed poorly differentiated atypical epithelial cells. They formed trabecules separated from one another by connective tissue. The cells and stroma proportion was approximately 1:1 .What is the most likely histological variant of the cancer.

@ Solid carcinoma.

Adenocarcinoma.

Epidermoid carcinoma.

Sccirrhous fibrocarcinoma.

Small cell carcinoma.

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A microscopical investigation of a breast tumour revealed that the neoplasm was constructed of undifferentiated atypical epithelial cells. These cells formed trabecules, separated by layers of a connective tissue. A parity of cells and stroma was approximately 1:1. Name a histological variant of a cancer.

@ Solid carcinoma

Adenocarcinoma

Squamous cell carcinoma

Fibrocarcinoma

Small cell carcinoma

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At the histological examination of a mammary gland tumour was revealed. Thet it was built of low-differentiated atypical cells of epithelial genesis. They formed trabeculae that were parted from one another by connective tissue. The correlation between cells and stroma is approximately 1:1. Name the histological variant of the cancer.

Squamous cells

Adenocarcinoma

@Solid

Fibrous

Small-cell

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A histological investigation of a breast tumor's biopsy revealed solid layers of fine epithelial cells with polymorphic nuclei and a considerable quantity of pathological mitoses. In addition, the tumor had very little stroma and a lymphocytic infiltration. Name the kind of presented tumor.

@Medullary carcinoma

Scirrhous carcinoma

Paget's disease

Adenoma

Adenofibroma

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"Fallout" from nuclear bomb testing and from nuclear power plant disasters may release radioactive isotopes into the environment. Exposure to radiation via ingestion ofstrontium-90 that can contaminate milk products may result in an increased risk for which of the following neoplasms:

Kaposi's sarcoma

@Small cell anaplastic carcinomaof lung

Osteosarcoma

Nasopharyngeal carcinoma

Endometrial carcinoma

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A bronchoscopy of a 65-year-old patient revealed a polyp-like formation, 1,0 cm in diameter, in the proximal part of the upper lobe bronchus of his right lung. A histological research revealed the tumour which consisted from fine lymphocyte-like cells with hyperchromic nuclei. The cells grew like layers and cords. Specify, what of the listed below kinds of tumors is the most authentic?

@Nondifferentiated small cell carcinoma

Nondifferentiated large cell carcinoma

Squamous cell carcinoma

Adenocarcinoma

Glandular squamous cell carcinoma

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Date: 2016-03-03; view: 1488