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An ultrasound of the abdomen and pelvis showed a diffusely
infiltrative nodular pattern of the liver and
an enlarged prostate. CT scanning confirmed the liver masses, which appeared
consistent with metastatic lesions.
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CT scan of the liver |
The patient declined a tissue diagnosis
and opted instead for supportive care. He died at home on May 15,
2003.
His past medical history was significant for peptic ulcer disease,
with duodenal stenosis and a partial gastrectomy in 1974. He had his gallbladder
removed for benign cholelithiasis in 2002.
The patient's family history
was significant for multiple relatives with cancer, including a grandmother
and a brother with stomach cancer; a mother with colon cancer; and a grandfather
with throat cancer.
1. What is your
differential diagnosis now?
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