@UrologyQuiz

Quiz1 Follow-up MCQs: (ANSWERS BELOW!)

1. This describes pathological T3a staging of renal cell carcinoma:

A) Perirenal &/or renal sinus (peripelvic) fat, extends into the vena cava below diaphragm

B) Tumour grossly extends into the renal vein or its segmental (muscle-containing) branches

C) Direct extension into the adrenal gland

D) Tumor size greater than 10cm

2. The prognosis of T3 renal cell carcinoma

A) is independent of tumor subtype

B) is similar for all T3 patients

C) is similar to direct invasion of the adrenal gland

D) is not dependent on level of renal vein/vena caval invasion

3. This describes pathological T2 staging of renal cell carcinoma:

A) T2c Tumour >10 cm not limited to kidney but just beyond capsule not into fat

B) T2a Tumour > 7 cm in greatest dimension but < 10cm

C) T2b Tumours > 10 cm limited to kidney

D) T2a Tumour ≥ 7 cm in greatest dimension but ≤ 10cm

ANSWERS

Q1 Answer A: 2010 AJCC TNM - T3=Tumour extends into major veins or perinephric tissues, but not
into the ipsilateral adrenal gland and not beyond Gerota’s fascia; B,C,D incorrect see below

T3a Tumour grossly extends into the renal vein or its segmental (muscle-containing) branches, or
tumour invades perirenal &/or renal sinus (peripelvic) fat but not beyond Gerota’s fascia
T3b Tumour grossly extends into the vena cava below diaphragm
T3c Tumour grossly extends into vena cava or its wall above the diaphragm or invades the wall of
the vena cava

Q2 Answer D: Surprisingly, there has been little to no correlation for the level of the IVC
tumour thrombus and Overall Survival [http://uffer.org/downloads/publications/2012_Peer-
Reviewed_Publications/9-Renal_Cell_Carcinoma.pdf]. A-subtype always important; B-no, see Quiz1
Answer; C-this T4 disease, by definition worse prognosis

Q3 Answer C: 2010 AJCC TNM – T2=Tumour > 7 cm in greatest dimension, limited to the kidney
T2a Tumour > 7 cm in greatest dimension but ≤ 10cm
T2b Tumours > 10 cm limited to the kidney