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  #1  
Old 12-15-2012
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Question Cancer Diagnosis

A 65-year-old man comes to the physician because of a 6-
week history of fatigue and difficulty swallowing; he also has
had a 6.8-kg (15-lb) weight loss during this period. Ten years
ago, he underwent operative resection of squamous cell
carcinoma of the floor of the mouth. He takes no medications.
He has smoked 2 packs of cigarettes daily for 40 years and
drinks 60 oz of alcohol weekly. Physical examination shows a
nontender abdomen with bowel sounds present. The physician
suspects a second primary cancer. This cancer is most likely
located at which of the following sites?
(A) Brain
(B) Esophagus
(C) Liver
(D) Lymph nodes
(E) Stomach

also put your explanation too
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  #2  
Old 12-15-2012
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alcoholic, smoker, wt loss ,difficulty in swallowing...suspected 2nd prmary cancer...i think sq cell ca of esophagus..
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Old 12-15-2012
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(B) Esophagus
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  #4  
Old 12-15-2012
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(B) Esophagus

Alcoholic and smoker.
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Old 12-15-2012
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Quote:
Originally Posted by Novobiocin View Post
(B) Esophagus
Even I thought B but the ans turned out to be A ...........

anyone any thoughts on this ???
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Old 12-15-2012
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I would have answered B too...Where is this question from?
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Old 12-15-2012
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Quote:
Originally Posted by Hitman View Post
Even I thought B but the ans turned out to be A ...........

anyone any thoughts on this ???
Primary squamous cell carcinoma of the brain?
What must be the question writer smoking/drinking?
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Old 12-15-2012
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from the first read of the Q i was think of ans (B) Esophagus but after second read i was think about tricky in this Q and i said to my self if not ans B it may be ans A from brain mets but that is true if there was Hx of Malignant melanoma. So this Q is not clear and there is no clue for any other ans
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Old 04-14-2013
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Default confused too

i'm confused about this one too. it's not brain mets because it says they suspect another primary cancer. the answer is primary brain cancer. is there some syndrome i'm not familiar with? :/
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Old 04-19-2013
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cigarette smoking + alcohol>>>>do Pan endoscopy to locate primary
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Old 04-19-2013
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i also think it as esophageal carcinoma.........brain metastasis is ruled out coz asking abt primary cancer here....

@rupesh----i think you are digesting every bit of uworld point to point.......panendoscopy ...hilarious..keep on going
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