q1! - sarim

[ArchivalUser]

NBME 4

A 28 y/o 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 terminal ileum. The liver as seen at autopsy is shown. Which of the following features of the neoplasm is demonstrated?

http://www.pathology.vcu.edu/education/d...ase2-7.jpg

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

[ArchivalUser]

C - Bloodborne metastasis. I think.

[ArchivalUser]

Great Thanks

*Multiple Liver Nodules are consistent with Metastasis to Liver

Pt most likely had suffered from “CARCINOID Syndrome”, where tumor (located in the terminal ileum) had “Metastasized To Liver via Hematogenous route”

[ArchivalUser]

Thank you, sarim .

[ArchivalUser]

My pleasure