A 68-Year-Old Woman Comes to the Office for a Preventive

A 68-year-old woman comes to the office for a preventive visit.  The patient feels well, and recently lost 4 kg (8.8 lb) on a new diet and exercise regimen.  She has no recent history of abdominal pain, jaundice, or changes in her stools.  Past medical history is notable for hypertension and hypercholesterolemia, for which the patient takes appropriate medications.  She does not use tobacco, alcohol, or illicit drugs.  Vital signs are normal.  On examination, the abdomen is soft and nontender, and no hepatosplenomegaly is noted.  However, a firm mass is palpated in the right upper quadrant.  CT scan of the abdomen is ordered and is shown below. This patient is at elevated risk for which of the following conditions?

A) Ascending cholangitis
B) Cholangiocarcinoma
C) Gallbladder adenocarcinoma
D) Hepatocellular carcinoma
E) Liver cirrhosis

Correct Answer:

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