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Figure1 Which Malignancy Is Most Commonly Associated With This Presentation?

Discussion in 'Educational Quizzes and Case Studies Forum' started by CaffeinatedSquirrel, Mar 14, 2019 at 2:28 PM.

  1. CaffeinatedSquirrel

    CaffeinatedSquirrel Married into Medicine
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    48-year-old male presents to his family physician with concerns over the discoloration of his neck. He first noticed it one month earlier, and has been trying to clean the area unsuccessfully. He is otherwise well, though he notes that his clothes fit more loosely now than they did a year ago. Examination reveals hyperpigmented velvety plaques on the neck and both axillae. His BMI is 22 and an A1C is 5.1%. Given the rapid appearance of this hyperpigmentation with no evidence of insulin resistance, an occult malignancy is considered. Which of the following malignancies is most commonly associated with this presentation?

    A. Gastric adenocarcinoma
    B. Hepatocellular carcinoma
    C. Lung adenocarcinoma
    D. Pancreatic adenocarcinoma

    [​IMG]

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  2. SynapticDoctah

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