Audio Qbank – Q214 – A 68M with a seizure + neoplasm

 

A 68-year-old man is brought to hospital following a seizure. Hematologic studies show a hemoglobin of 18.7 g/dL. Serum calcium is 10.6 mg/dL. He has hypertension controlled with enalapril. He has been smoking one pack of cigarettes daily for 20 years. One year ago he was managed with antibiotics for diverticulitis.  CT of the head reveals a mass. Biopsy is performed and is shown below. Which of the following is the most likely site of this patient’s primary neoplasm?

 

Colon (ascending)
Colon (sigmoid)
Kidney
Lung
Prostate

 

Cut-to-the-chase Answer (0:38):
HY USMLE Answer (3:33):