Gynaecological oncology: surgery for early endometrial cancer: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Gynaecological oncology: surgery for early endometrial cancer

Sample item

A 58-year-old woman has grade 1 endometrioid carcinoma confined to the uterus on MRI. What is the standard surgery?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Total hysterectomy with bilateral salpingo-oophorectomy

Surgical staging and treatment of endometrial cancer consist of total hysterectomy with bilateral salpingo-oophorectomy, with lymph node assessment according to risk. Radical hysterectomy is not needed.

Option by option

  • A. Subtotal hysterectomy

    A subtotal hysterectomy leaves the cervix and is inadequate for staging.

  • B. Hysterectomy with ovarian conservation

    Conserving the ovaries is not standard in an older woman with an oestrogen-driven cancer.

  • C. Total hysterectomy with bilateral salpingo-oophorectomy (correct)

    Correct. This is the standard operation for apparently uterine-confined disease.

  • D. Radical hysterectomy

    Radical hysterectomy is for cervical cancer and adds morbidity.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is C, Total hysterectomy with bilateral salpingo-oophorectomy. Surgical staging and treatment of endometrial cancer consist of total hysterectomy with bilateral salpingo-oophorectomy, with lymph node assessment according to risk.

Why is "Subtotal hysterectomy" not the answer?

A subtotal hysterectomy leaves the cervix and is inadequate for staging.

Why is "Hysterectomy with ovarian conservation" not the answer?

Conserving the ovaries is not standard in an older woman with an oestrogen-driven cancer.

Why is "Radical hysterectomy" not the answer?

Radical hysterectomy is for cervical cancer and adds morbidity.

What concept does this question test?

It tests Gynaecological oncology: surgery for early endometrial cancer in OBG. Radical hysterectomy is not needed.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gynaecological oncology: surgery for early endometrial cancer?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.