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MCQs in General
Surgical
Oncology
AqeelShakirMahmood
AndreasKoulouris
Editors
123

MCQs in General Surgical Oncology

Aqeel Shakir Mahmood • Andreas Koulouris
Editors
MCQs in General Surgical
Oncology

Editors
Aqeel Shakir Mahmood
Department of General Surgery
University of Baghdad
Baghdad, Iraq
Andreas Koulouris
Thoracic Oncology Center
Karolinska University Hospital
Stockholm, Sweden
ISBN 978-3-031-65737-5 ISBN 978-3-031-65738-2 (eBook)
https://doi.org/10.1007/978-3-031-65738-2
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland
AG 2024
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether
the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of
illustrations, recitation, broadcasting, reproduction on microlms or in any other physical way, and
transmission or information storage and retrieval, electronic adaptation, computer software, or by similar
or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication
does not imply, even in the absence of a specic statement, that such names are exempt from the relevant
protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book
are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the
editors give a warranty, expressed or implied, with respect to the material contained herein or for any
errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional
claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
If disposing of this product, please recycle the paper.

My dear family, your love and support
https://t.me/med1917
always shone over my life. This book is
indeed a tribute to your sacrices and
encouragement; I dedicate it to you in turn.
Aqeel Shakir Mahmood

Foreword 1
https://t.me/med1917
“No medical professional in the current scenario can afford not to continue learning
and updating the latest advances,” MCQs in General Surgical Oncology is a comprehensive compilation to help surgeons, residents, or students learn the basics to
the nuances of oncological surgeries related to the gastrointestinal and endocrine
systems. This book provides quite a few multiple-choice questions that comprehensively cover almost all aspects right from basic principles to challenging surgical
techniques and management following surgery. The questions are very well framed
to pose a real-life situation, challenging the reader on the application of his/her
knowledge and power of reasoning. Explanations and references for each question
round out the text, adding value in serving both as a self-assessment and exampreparation guide. First of all, I must congratulate the authors on this wonderful
compilation, which, without a doubt, will go a long way in achieving its goal of
serving as an aid for good surgical educational practice and better patient care in the
eld of oncology.
Iraqi Cancer Board TahseenAlrubai
Ministry of Health,
Baghdad, Iraq
vii

Foreword 2
https://t.me/med1917
Surgical oncology is one of those elds where one is able to boast that they are
masters only with the greatest difculty. This book MCQs in General Surgical
Oncology turns on the spotlight for one to illuminate their way to that great goal.
This book equips the reader with a thoughtfully selected set of multiple-choice
questions exploring the subtleties of diagnosis and management in GI and endocrine system cancer. Valuable for everybody who wants to deepen their understanding in surgical oncology, from medical students to advanced surgeons. Questions
have been so designed that they are evocative of critical thinking and re-emphasize
on key concepts, while the detailed explanation of why each answer is the way it is
holds invaluable insight. In this foreword, I nd the embodiment of authors’ commitment to moving medical education forward with their continued struggle against
cancer. This book is not merely a pedagogic tool; it should be looked upon as a
companion to the ardent man or woman in the quest for saving life through surgical
excellence.
Department of Radiology KhudhairJasimSabeeh
College of Medicine, University of Baghdad,
Baghdad, Iraq
ix

Key Features
https://t.me/med1917
• MCQs in General Surgical Oncology is a comprehensive review book that uti-
lizes the multiple-choice question (MCQ) format to specically address topics in
gastrointestinal and endocrine oncology.
• This book aims to help readers revise core concepts and maintain knowledge in
the eld of surgical oncology, with a focus on gastrointestinal and endocrine tumors.
• This book is structured into two main sections, covering a wide range of topics
including esophageal tumors, gastric tumors, colorectal cancer, hepatocellular
carcinoma, pancreatic cancer, thyroid cancers, and more.
• With over 500 MCQs, this study companion provides a convenient format for
self-study, with answers and explanations immediately following the questions
for enhanced readability. While serving as an adjunct to existing texts, this book
is designed to help readers identify their strengths and weaknesses in the area of
surgical oncology.
• The content is based on up-to-date best practice evidence, with a style that mirrors the format adopted by the majority of local, regional, and international board
examinations.
• The target audience includes medical students, surgical residents, fellows, and
practicing surgeons preparing for exams or seeking to refresh their knowledge in
the eld.
• MCQs in General Surgical Oncology follows the concept and style of interna-
tionally recognized medical review books, offering a focused and valuable
resource for those studying or practicing in the eld of surgical oncology.
xi

Preface
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Surgical oncology is a dynamic, ever-evolving discipline with enshrined understandings in surgical oncology. It is aptly said that the journey of a surgical oncologist is all about learning and adapting continuously because new ndings and
development are continuously changing our approach toward treating cancer.
It is with this backdrop that MCQs in General Surgical Oncology has been con-
ceived. This book is meant to provide an all- embracing review of the key concepts
and techniques in surgery relevant to the gastrointestinal and endocrine systems
vis-à-vis oncology. This is in order to ensure that the format that is used is exible
enough for the reinforcement of knowledge and self-assessment. Therefore, the format was a multiple-choice question (MCQ).
Every question in this book is very well-drafted and forces the reader to prod his
gray matter, applying not only his recall-based but also critical thinking and
problem- solving faculties. Clear answers, often with explanations that make the
eld of knowledge even clearer, are offered.
This book is written for a broad audience from medical students and surgical
residents to practicing surgeons, who are willing to refresh or perhaps update their
knowledge, and for board-exam candidates, who are preparing for certication
exams. We hope this collection of MCQs will be useful in your endeavor for excellence in surgical oncology.
We are immensely grateful to the authors for invaluable contributions and exper-
tise and to the patients and mentors. This book may help you along with this very
responsible road to becoming a good and compassionate surgical oncologist.
Baghdad, Iraq AqeelShakirMahmood
Stockholm, Sweden AndreasKoulouris
xiii

Contents
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Part I Surgical Gastrointestinal Oncology
1 Esophageal Tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Sabah Noori Abdulraheem, Talib A. Majeed, Noufel sh. Alshadood,
Saleh Abdulkareem Saleh, and Aqeel Shakir Mahmood
2 Gastric Tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Salih Ahmed Aljiburi, Munthir A. Alobaidi, Raafat Raoof Altur,
Saleh Abdulkareem Saleh, and Aqeel Shakir Mahmood
3 Small Bowel and Appendiceal Tumors . . . . . . . . . . . . . . . . . . . . . . . . . 37
Samer Sabri, Talib A. Majeed, Noufel sh. Alshadood,
Waseem M. Al Hamidy, Sajjad G. Al-Badri,
and Aqeel Shakir Mahmood
4 Colorectal Cancers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Munthir A. Alobaidi, Haider A. H. Ahmed,
Sabah Noori Abdulraheem, Saleh Abdulkareem Saleh,
and Aqeel Shakir Mahmood
5 Pre- and Nonmalignant Colorectal Conditions . . . . . . . . . . . . . . . . . . 73
Aqeel Shakir Mahmood, Haider A. H. Ahmed,
Waseem M. Al Hamidy, Abdulazeez S. Al-Janabi,
and Mustafa Ismail
6 Peritoneal Malignancies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Salih Ahmed Aljiburi, Talib A. Majeed, Samer Sabri,
and Aqeel Shakir Mahmood
7 Hepatocellular Carcinoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Raafat Raoof Altur, Talib A. Majeed, Sajjad G. Al-Badri,
Saleh Abdulkareem Saleh, and Aqeel Shakir Mahmood
xv
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