MRMAVERICK
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A 53-year-old woman has noted pain in her neck for the past month. On physical examination her vital signs include T 37 C, P 77/minute, RR 16/minute, and BP 130/80 mm Hg. There is an irregular firm mass palpable in her left neck. A CT scan shows an infiltrative mass involving the left lobe of the thyroid and extending into adjacent soft tissues. Laboratory studies show TSH 2.9 mU/mL, total serum thyroxine 8.6 microgm/dL, calcium 8.7 mg/dL, and phosphorus 2.8 mg/dL. A fine needle aspiration biopsy of the mass shows malignant spindle-shaped cells present that demonstrate a TP53 mutation immunohistochemically. She dies within a year with metastatic lesions. Which of the following neoplsms is this woman most likely to have?
A Anaplastic carcinoma
B Follicular carcinoma
C Medullary carcinoma
D Non-Hodgkin lymphoma
E Papillary carcinoma
F Parathyroid carcinoma
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245/264/CS awaiting result/2006 Grad/Need VISA
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| smal
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A
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remedy for weakness is not brooding over it ,but thinking of strength.
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