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Vulval Melanoma — SCE Medical Oncology MCQ

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HardGynaecological CancersVulval MelanomaSCE Medical Oncology

After surgery and chemotherapy, a postmenopausal patient has ER-positive, HER2-negative early breast cancer with 2 positive axillary nodes, a 3.2 cm grade 3 primary and no distant disease. Which feature set makes adjuvant abemaciclib with endocrine therapy eligible under NICE TA810?

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Correct answer: BEligible: 2 positive nodes plus a grade 3 primary

Option B is correct: with 1 to 3 positive nodes, grade 3 histology or a primary at least 5 cm meets the TA810 high-risk definition. Option E uses a Ki-67 threshold not required by TA810. Option A is node negative despite grade 3 histology. Option C is also node negative despite its large primary. Option D has positive nodes but neither grade 3 disease nor a tumour at least 5 cm.

Reference: NICE TA810: adjuvant abemaciclib. https://www.nice.org.uk/guidance/ta810/chapter/1-Recommendations