guys ans is B. histologic grade.
i thought it to be D because goljan said in audio to go for distant metz site for px as per TNM system.
here is the expln...
Option B (Histologic grade) is correct. There is an increased likelihood of extrauterine tumor spread with poorly differentiated tumor and thus substantially worsened prognosis.
Option A (Depth of invasion) is incorrect.
Depth of invasion is the second most important prognostic factor. If the carcinoma has invaded more than one third of the myometrium, the prognosis becomes significantly worsened.
Option C (Pelvic node metastasis) is incorrect. Positive peritoneal washings, tumor volume, and pelvic node metastasis are all factors in prognosis, but are
not as important as histologic grade and depth of invasion in determining survival rates.
Option D (Positive peritoneal washings) is incorrect. Positive peritoneal washings, tumor volume, and pelvic node metastasis are all factors in prognosis, but are not as important as histologic grade and depth of invasion in determining survival rates.
Option E (Tumor volume) is incorrect. Positive peritoneal washings, tumor volume, and pelvic node metastasis are all factors in prognosis, but are not as important as histologic grade and depth of invasion in determining survival rates.
can any1 give a strong reason why B is the ans.? i am not satisfied with ans. can we generalize prognosis concept to any cancer?