PANCE Practice Test

Category - PA

A child is admitted to the hospital with a diagnosis of Wilm's tumor, stage II. Which of the following statements most accurately describes this stage?
  1. The tumor is less than 3 cm. in size and requires no chemotherapy
  2. The tumor did not extend beyond the kidney and was completely resected
  3. The tumor extended beyond the kidney but was completely resected
  4. The tumor has spread into the abdominal cavity and cannot be resected
Explanation
Answer: C - The staging of Wilm's tumor is confirmed at surgery as follows: Stage I, the tumor is limited to the kidney and completely resected; stage II, the tumor extends beyond the kidney but is completely resected; stage III, residual nonhematogenous tumor is confined to the abdomen; stage IV, hematogenous metastasis has occurred with spread beyond the abdomen; and stage V, bilateral renal involvement is present at diagnosis.
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