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Kaplan Qbank USMLE



Author7 Posts
  #1

A 32 year old man dies after an episode of massive upper GI bleeding. He had episodes of facial flushing and diarrhea for the past year. A yellow submucosal nodule is identified in the terminal ileum. The liver as seen at autopsy is shown. Which of the following features of the neoplasm's stage is demonstrated?

A. Bloodborne metastases
B. Direct seeding
C. Lymphatic spread
D. Peritoneal implants
E. Size of the primary lesion


Attached Files:
NBME 4 1 8.JPG (10 KB, 22 downloads)



  #2

i think this case of multipal endocrine neoplasia type 2

  #3

C

  #4

i think A. cant explain,,,,

  #5

I vote for C too.

  #6

A coz portal vein seeds liver from intestine

___________________
remedy for weakness is not brooding over it ,but thinking of strength.

  #7

A

Carcinoid tumor with metastasis via postal blood to the liver







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