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Solve this question paper. Use latest medical guidelines and evidences. Don't write long sentances. Give maximum answers in tables, flowchart and diagrams

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INTERLACE trial CALLA trial locally advanced cervical cancer 2024 results

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cancer prehabilitation ovarian cancer cytoreductive surgery

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CALLA trial locally advanced cervical cancer anlotinib chemoradiotherapy results 2024

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immunotherapy pembrolizumab gestational trophoblastic neoplasia treatment

All 10 questions answered. Here's a quick summary of key updates from latest guidelines used:

Key High-Yield Points for This Paper

QMost Important Point
Q1NECC in pregnancy: use PE regimen (Cisplatin+Etoposide) NOT standard regimens; CCRT after delivery
Q2PI3K-AKT-mTOR + PARP pathways are the most actionable in gyn oncology
Q3WT1 + PAX8 = HGSC; CDX2 + CK20 = GI metastasis (Krukenberg)
Q4Uterine artery crossing = most common site of ureteric injury (75%); always spatulate + stent
Q5Prehab = multimodal: exercise + nutrition + psychosocial + anemia Rx; start 3-6 weeks before CRS
Q6Meijer criteria: ≥90% sensitivity / ≥98% specificity vs HC2; genotyping (16/18) guides triage
Q7INTERLACE = POSITIVE (carbo+taxol induction before CCRT); CALLA = NEGATIVE (durvalumab failed)
Q8EMA-CO for high-risk GTN; pembrolizumab for chemo-resistant/refractory GTN
Q9Gracilis = Type II (medial femoral circumflex); VRAM = Type III (DIEA) - both key for vulvar reconstruction
Q10LACC Trial: MIS radical hysterectomy is inferior to open - do NOT do MIS radical Hx for cervical cancer
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