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120620 Pathology

A 50-year-old lady presented with a 3-month history of pain in the lower third of the right thigh. There was no local swelling; tenderness was present on deep pressure. Plain X-rays showed an ill-defined intra medullary lesion with blotchy calcification at the lower end of the right femoral diaphysis, possibly enchondroma or chondrosarcoma. Sections showed a cartilaginous tumor. Which of the following histological features (if seen) would be most helpful to differentiate the two tumours?

AFocal necrosis and lobulation
BTumor permeation between bone trabeculae at periphery
CExtensive myxoid change
DHigh cellularity
Pathology
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120621 Pathology

A 50-year-old lady presented with a 3-month history of pain in the lower third of the right thigh. There was no local swelling; tenderness was present on deep pressure. Plain X-rays showed an ill-defined intra medullary lesion with blotchy calcification at the lower end of the right femoral diaphysis, possibly enchondroma or chondrosarcoma. Sections showed a cartilaginous tumor. Which of the following histological features (if seen) would be most helpful to differentiate the two tumours?

AFocal necrosis and lobulation
BTumor permeation between bone trabeculae at periphery
CExtensive myxoid change
DHigh cellularity
Pathology
View Explanation →
120624 Surgery

A 70 year old male patient presented with history of chest pain and was diagnosed to have coronary aery disease. During routine evaluation, an ultrasound of the abdomen showed presence of gallbladder stones. There was no past history of biliary colic or jaundice. What is the best treatment advice for such a patient for his gallbladder stones?

AOpen cholecystectomy
BLaparoscopic cholecystectomy
CNo surgery for gallbladder stones
DERCP and removal of gallbladder stones
Surgery
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120625 Surgery

A 70 year old male patient presented with history of chest pain and was diagnosed to have coronary aery disease. During routine evaluation, an ultrasound of the abdomen showed presence of gallbladder stones. There was no past history of biliary colic or jaundice. What is the best treatment advice for such a patient for his gallbladder stones?

AOpen cholecystectomy
BLaparoscopic cholecystectomy
CNo surgery for gallbladder stones
DERCP and removal of gallbladder stones
Surgery
View Explanation →