KROK 1 2016 – Question 104 · KROK (Medicine) · Pathomorphology

A patient died of cancerous cachexia with primary localization of cancer in the stomach. Autopsy revealed acutely enlarged liver with uneven surface and numerous protruding nodes; the nodes had clear margins in the section, rounded shape, gray-pink color, varying density, sometimes contained necrotic foci. Histologically: there are atypical cells in the nodes. What pathologic process occurred in the liver?

  1. A. Cancer metastases
  2. B. Infarction
  3. C. Hepatic cancer
  4. D. Abscesses
  5. E. Regeneratory nodes
Hint

Consider what multiple discrete nodes of atypical cells in a distant organ imply when a primary cancer is already known elsewhere.

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