Oncology teach Flashcards
A 25-year-old man presents to his general practitioner with a slowly enlarging, painless right neck mass. The neck mass is located in the mid-right neck. He denies recent upper respiratory tract infections but has had fevers, night sweats, and unintentional weight loss. On examination he has hepatomegaly. What is the most likely diagnosis?
Hodgkins
A 60-year-old previously healthy man presents with 2 to 3 months of back pain. He has osteolytic lesions on radiography. Laboratory data reveals anaemia associated with the presence of a monoclonal protein and hypercalcaemia. Bone marrow biopsy shows 12% clonal plasma cells. What is the most likely diagnosis
Multiple myeloma
A 60-year-old female smoker presents to you. She has had a history of a chronic cough for 6 months. She has noticed she coughs up blood on several occasions and has lost 2 stone unintentionally. She has a biopsy which shows a ‘salt and pepper’ appearance. The consultant tells you that this type of lung cancer could lead to SIADH. What type of lung cancer does she have?
small cell lung cancer
A 58-year-old man presents to his primary care physician with increasing tiredness, accompanied by bruising on his legs. He also complains of aching bones. On examination, he pale, has bony tenderness over the sternum and tibia, and has petechiae on his legs. There are no palpable lymph nodes. The liver and spleen are not palpable. A blood film shows Auer rods. What is the most likely diagnosis?
acute myeloid leukaemia
A 64F currently undergoing chemotherapy presents to A&E with a new fever and a cough. She is tachycardic and feels unwell. FBC shows low neutrophils.What is the most likely diagnosis?
Neutropenic Sepsis
