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Maltese terrier cross with enlarged abdomen (view source)
Revision as of 17:20, 4 October 2012
, 17:20, 4 October 2012no edit summary
<center><WikiQuiz
<center><WikiQuiz
questionnumber="13"
questionnumber="13"
question=""
question="You send samples of the mass off to histopathology. Now that you have the results of histology, what do you do next?"
choice1=""
choice1="Advise she should receive adjuvant doxorubicin chemotherapy as the next step, to begin once the wound has healed. You also advise regular follow-ups for 12 months after surgery."
choice2=""
choice2="Offer nothing further as therapy and advise a recheck in 10−14 days for suture removal, then further rechecks every 3−6 months for 12 months after surgery."
choice3=""
choice3="Advise the clients that this kind of tumour is reported to occur infrequently as a splenic mass. However the prognosis is expected to be good with surgery alone, with a low metastatic rate. Adjuvant doxorubicin chemotherapy could be considered the more aggressive next step. This may be beneficial but data to prove this conclusively are lacking. A valid option is no further therapy as the surgery is potentially curative. Removing such a large abdominal mass is a strongly palliative option. Schedule a recheck in 10−14 days for suture removal, then further rechecks every 3−6 months for 12 months after surgery."
choice4=""
choice4=""
choice5=""
choice5=""
correctchoice="4"
correctchoice="3"
feedback1=""
feedback1="'''Incorrect'''. You should discuss with the clients that chemotherapy may be of use to extend survival time, but this has not been proven. Strongly recommending adjuvant chemotherapy without sufficient data to support its benefit is controversial. Choose again."
feedback2=""
feedback2="'''Incorrect'''. There is insufficient evidence to exclude or include adjuvant chemotherapy as part of the treatment options for this kind of tumour. You should give the clients the option of considering adjuvant chemotherapy. Choose again.]]>"
feedback3=""
feedback3="'''Correct'''. This is the option that allows the clients to make their own decision knowing all the current information."
feedback4=""
feedback4=""
feedback5=""
feedback5=""
<center><WikiQuiz
<center><WikiQuiz
questionnumber="14"
questionnumber="14"
question=""
question="With respect to other splenic masses seen in dogs, what do we understand by the term ‘nodular fibrohistiocytic proliferation’?"
choice1=""
choice1="This is another name for nodular hyperplasia "
choice2=""
choice2="These nodules have characteristics of splenic lymphoid hyperplasia and malignant splenic stromal tumours "
choice3=""
choice3="This is another name for histiocytic sarcoma "
choice4=""
choice4="These nodules are characterized by malignant lymphoid cells "
choice5=""
choice5=""
correctchoice="4"
correctchoice="2"
feedback1=""
feedback1="'''Incorrect'''. Choose again."
feedback2=""
feedback2="'''Correct'''."
feedback3=""
feedback3="'''Incorrect'''. Choose again."
feedback4=""
feedback4="'''Incorrect'''. Choose again."
feedback5=""
feedback5=""
image= "">
image= "">