Question 161 · LEK · Metastases
Which of the following must be performed first in the case of a patient with a liver tumor diagnosed incidentally on ultrasound and a suspicion of cancer metastasis?
- A. accurate medical history, contrast enhanced CT of the abdomen, endoscopy of the upper and lower gastrointestinal tract.
- B. accurate medical history and core needle biopsy of the tumor for histopathological examination.
- C. accurate medical history and PET-CT as soon as possible. 55 z 117 29.06.2026, 14:15 Centrum Egzaminów Medycznych https://test.cem.edu.pl/pytcem/wyswietl_baza_pdf.php
- D. accurate medical history, contrast enhanced CT of the abdomen and urgent decision on laparotomy and partial hepatectomy with tumor resection.
- E. all the above statements are false.
Hint
Most liver metastases come from the digestive tract, so the first step is to find and stage the primary tumor.
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