Question

A pelvic exenteration is performed:
       To cure cancer of the lower anterior segment of the colon.
       When the patient is in early stages of uterine cancer.
       When gyn cancer is extensive and metastases have occurred.
       To ensure proper placement of a tubal prosthesis.

Answer 1

Answer Option 3. When gyn cancer is extensive and metastases have occurred

Option 3 is correct as pelvic exenteration is performed when the cancer is uncontrollable and does not respond to radiation therapy. At this stage the metastasis is aggressive and extensive which then is followed by the exenteration procedure. In the exenteration procedure the cancerous mass of cell especially in the cervix area is removed.

Option 1 is incorrect as curing the cancer through exenteration procedure for lower anterior segment if the colon is not possible

Option 2 is incorrect as in the early stages of uterine cancer the chemotherapy and other treatments are used and not the exenteration procedure

Option 4 is incorrect as proper placement of tubal prosthesis does not involve pelvic exenteration.