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 Best of Five 3.10

 

   

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BOF:3.10

A 62-year-old male who has had a right hemicolectomy for colon cancer presents with malaise, weight loss, abdominal pain and distension of the abdomen. On examination there is evidence of weight loss and the liver is enlarged, hard in consistency and has a craggy edge and irregular surface.

In this patient which of the following features would indicate a poor prognosis?

a)      Elevated alkaline phosphatase

b)      Jaundice

c)      Malignant tissue on liver biopsy

d)      Elevated transaminases

e)      Ultrasound evidence of metastases

 

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