A 51-year-old woman presents with abdominal pain, weight loss, early satiety, and night sweats. On physical exam she appears cachectic, multiple enlarged lymph nodes are present in her neck (supraclavicular area), and a mass is palpated in the epigastrium. Laboratory data reveal a hemoglobin of 8 g/dL and a normal WBC count. Which of the following is the most appropriate next step in establishing the diagnosis?
A. Upper GI series
B. Peripheral blood smear
C. CT of the abdomen
D. Upper endoscopy with biopsy
E. Exploratory laparotomy
Answer
Tags:
MCQ, Gastroenterology, Lymphoma
Category:
Gastroenterology MCQs
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