A 43-Year-Old Man Is Being Evaluated for Erectile Dysfunction, Which

A 43-year-old man is being evaluated for erectile dysfunction, which has been progressive over the past year.  He has no other symptoms except some fatigue that he attributes to his intense work schedule.  The patient drinks 1-2 beers every day after work and has a 20-pack-year smoking history.  He does not use recreational drugs or take over-the-counter medications.  Vital signs are normal.  BMI is 29 kg/m².  Skin examination shows brownish skin pigmentation, most pronounced over the face and both arms.  The abdomen is soft and nontender without organomegaly.  Cardiopulmonary examination shows no abnormalities, and there is no peripheral edema.  Laboratory results are as follows: If untreated, this patient is at increased risk for developing which of the following complications?

A) Gastric adenocarcinoma
B) Hepatocellular carcinoma
C) Hypotensive crisis
D) Nephrotic syndrome
E) Pancreatic cancer
F) Skin cancer

Correct Answer:

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