Paraneoplastic syndrome in HCC

Q) Paraneoplastic Syndrome in HCC which also occurs in End stage liver disease

a) Hypercholesteremia

b) Hypoglycemia

c) Hypercalcemia

d) Carcinoid

Ans -  b

Hypoglycemia (also seen in end stage liver disease) 

Erythrocytosis

Hypercalcemia

Dysfibrogenimea

Carcinoid Syndrome

Thyroxin binding globulinincreases

Porphyria cutanea tarda

Gynecomastia, testicular atrophy, early puberty

Enteropathy in T cell lymphoma

Q. Not true about enteropathy in T cell lymphoma
a) It is an  variant of intestinal lymphoma mainly in jejunum and ileum
b) Associated with coeliac disease
c) Perforation is frequently seen with ETL (Enteropathy T cell lymphoma)
d) This type of lymphoma is common
Ans. d
Enteropathy T cell lymphoma is an unusual variant of intestinal lymphoma. It is associated with celiac disease and responds to gluten free diet. It has a higher rate of perforations because of circumferential ulcers. It is commonly seen in jejunum and ileum
Ref- Schakelford Surgery of Alimentary canal  pg 1205
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Duodenal Adenocarcinoma

Q) Which of the following is not true about duodenal adenocarcinoma

a) Adenocarcinoma is the most common malignancy affecting duodenum

b) Most of the patients with duodenal adenoacarcinoma have a palpable mass

c) Surgery is the main stay of management

d) GOO is the most common presentation