This is the abstracting quiz for Bladder. You will have 2 hours to complete the

This is the abstracting quiz for Bladder. You will have 2 hours to complete the quiz. There are 10 questions worth 3 points each. You will need the manual links in this Unit. Also, be prepared to use the AJCC manual. Note: this is a timed quiz. You may check the remaining time you have at any point while taking the quiz by pressing the keyboard combination SHIFT, ALT, and T… Again: SHIFT, ALT, and T… Flag question: Question 1Question 13 pts 8-19-23 Bladder tumor, TURBT: “Mass in dome”: Diffusely infiltrating carcinoma with neuroendocrine features suggestive of carcinoid tumor. Specimen sent for pathologic consultation. Addendum, revised diagnosis: Invasive urothelial (transitional cell) carcinoma. What histology/behavior code will you use? _ _ _ _ / _ Group of answer choices 8131/3 8120/2 8130/2 8120/3 Flag question: Question 2Question 23 pts 8-19-23 Bladder tumor, TURBT: “Mass in dome”: Diffusely infiltrating carcinoma with neuroendocrine features suggestive of carcinoid tumor. Specimen sent for pathologic consultation. Addendum, revised diagnosis: Invasive urothelial (transitional cell) carcinoma, grade III, with extensive invasion of the detrusor muscle. Areas of necrosis with secondary dystrophic calcifications are noted. What site code will you use? _ _ _ . _ Group of answer choices C67.1 C67.9 C67.0 C68.1 Flag question: Question 3Question 33 pts 8-19-23 Bladder tumor, TURBT: “Mass in dome”: Diffusely infiltrating carcinoma with neuroendocrine features suggestive of carcinoid tumor. Specimen sent for pathologic consultation. Addendum, revised diagnosis: Invasive urothelial (transitional cell) carcinoma, grade 3, with extensive invasion of the detrusor muscle. Areas of necrosis with secondary dystrophic calcifications are noted. Use the Grade Manual to determine the clinical grade. Group of answer choices H 3 9 C Flag question: Question 4Question 43 pts 8-30-23 Bilateral pelvic lymph node dissections and cystectomy of bladder: A. Left obturator lymph nodes (3). Multiple lymph nodes, negative for neoplasm. B. Right obturator lymph nodes (3). Multiple lymph nodes, negative for neoplasm. C. Bladder tumor. Invasive poorly differentiated transitional cell carcinoma, grade III. Tumor extensively invades transmurally into the pericystic fat. No extension through serosa. Tumor extends to the resection margin at the right inferior aspect at the level of the muscularis. Extensive vascular and perineural invasion is present. Remaining resection margins free of tumor. D. Bladder tumor distal margin. Bladder tissue, negative for neoplasm. Use the Grade Manual to determine the pathologic grade. Group of answer choices H C 9 3 Flag question: Question 5Question 53 pts 8-19-23 Bladder tumor, TURBT: “Mass in dome”: Diffusely infiltrating carcinoma with neuroendocrine features suggestive of carcinoid tumor. Specimen sent for pathologic consultation. Use the Solid Tumor Manual to determine the number of primaries. Group of answer choices 2 1 Flag question: Question 6Question 63 pts 8-19-23 Bladder tumor, TURBT: “Mass in dome”: Diffusely infiltrating carcinoma with neuroendocrine features suggestive of carcinoid tumor. Specimen sent for pathologic consultation. Use the Solid Tumor Manual and state the M rule used. Group of answer choices M12 M15 M2 M5 Flag question: Question 7Question 73 pts 08/19/23 Bladder tumor. Invasive poorly differentiated transitional cell carcinoma, grade III. Tumor extensively invades transmurally into the pericystic fat. No extension through serosa. Tumor extends to the resection margin at the right inferior aspect at the level of the muscularis. Extensive vascular and perineural invasion is present. Remaining resection margins free of tumor. Use the Solid Tumor Manual to determine the H rule. Group of answer choices H5 H6 H9 H1 Flag question: Question 8Question 83 pts Chief Complaint: Patient developed symptoms of frequency, urgency, and incomplete emptying of bladder. Cystoscopy in office showed bladder tumor in dome in addition to benign prostatic hypertrophy. Physical Exam: Prostate enlarged 2+. No palpable lymphadenopathy Imaging: CT abdomen and pelvis: Soft tissue mass in dome of bladder with apparent extension into outer layers of bladder wall muscle. No adenopathy noted. Lab reports: Chemistry screening panel: Systemic evaluations within normal limits. Endoscopic procedure: Transurethral resection of bladder tumor deep at base for staging purposes: 4.5cm in dome. tumor resected down into muscle. Pathology reports: Bladder tumor, TURBT: “Mass in dome”: Diffusely infiltrating carcinoma with neuroendocrine features suggestive of carcinoid tumor. Specimen sent for pathologic consultation. Addendum, revised diagnosis: Invasive urothelial (transitional cell) carcinoma. Using the AJCC manual 8th, ed., state the clinical T_ N_ M_. Group of answer choices T3 N0 M0 Ta N0 M0 Tx N0 M0 T2 N0 M0 Flag question: Question 9Question 93 pts Surgical Procedures and Observations: 8-30-23 Cystectomy: Pelvic lymph nodes grossly normal. No apparent extension of tumor into serosa or perivesical fat. Pathology Report: 8-30-23 Bilateral pelvic lymph node dissections and cystectomy of bladder: A. Left obturator lymph nodes. Multiple lymph nodes, negative for neoplasm. B. Right obturator lymph nodes. Multiple lymph nodes, negative for neoplasm. C. Bladder tumor. Invasive poorly differentiated transitional cell carcinoma, grade III. Tumor extensively invades transmurally into the pericystic fat. No extension through serosa. Tumor extends to the resection margin at the right inferior aspect at the level of the muscularis. Extensive vascular and perineural invasion is present. Remaining resection margins free of tumor. D. Bladder tumor distal margin. Bladder tissue, negative for neoplasm. Use the AJCC manual, 8th ed. and state the p stage T_ N_ M_. Group of answer choices Ta N0 M0 T3a N0 M0 T2 N0 M0 Tx N0 M0 Flag question: Question 10Question 103 pts Surgical Procedures and Observations: 8-30-23 Cystectomy: Pelvic lymph nodes grossly normal. No apparent extension of tumor into serosa or perivesical fat. Pathology Report: 8-30-23 Bilateral pelvic lymph node dissections and cystectomy of bladder: A. Left obturator lymph nodes. Multiple lymph nodes, negative for neoplasm. B. Right obturator lymph nodes. Multiple lymph nodes, negative for neoplasm. C. Bladder tumor. Invasive poorly differentiated transitional cell carcinoma, grade III. Tumor extensively invades transmurally into the pericystic fat. No extension through serosa. Tumor extends to the resection margin at the right inferior aspect at the level of the muscularis. Extensive vascular and perineural invasion is present. Remaining resection margins free of tumor. D. Bladder tumor distal margin. Bladder tissue, negative for neoplasm. State the Summary Stage 2018 code. Group of answer choices 2 0 3 9

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