08-08-2006, 11:20 AM
an 82 y old man comes to the physician because of a 2m history of progressive shortness of the breath w/ exertion and a 3 w history of R upper quadrant abdominal discomfort. She has chronic obstructive pulmonary disease , hypertension and rheumatoid arthritis . Medications include metrotexate , hydroclorothiazide , naproxen , albuterol metered dose inhaler and aspirin. Examination show pallor breath sounds decreased . the liver is enlarged , firm and midly tender. the test of stool blood is + hematocrit 27% MCV :76 CTscan of the abdomen multiple hypodense lesions in the liver. which of the following is the most likely diagnosis?
a. Cholangiocarcinoma
b. Hepatocellular carcinoma
c. Lymphoma
d. Metastatic colon cancer
e. Metastatic lung cancer
f. Meatastatic pancreatic cancer
a. Cholangiocarcinoma
b. Hepatocellular carcinoma
c. Lymphoma
d. Metastatic colon cancer
e. Metastatic lung cancer
f. Meatastatic pancreatic cancer