From: Dr James Keir
jameskeir@hotmail.com

What does the slide show?
Presuming it is metastatic in origin, name the likely primary sites?
Name five relevant investigations to help in diagnosing the primary site?
Click
here for answer
This slide demonstrates a liver biopsy performed
in a 63 year old lady presenting with abdominal pain/distension and weight
loss.
There is infiltration of a well to moderately differentiated adenocarcinoma.
Sites include GI tract, pancreas, biliary system, breast, ovary and lung.
CXR, breast mammogram, CT abdomen, Ca125 and CEA