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Surgery General 277d9002

A 70 year old male known case of a ceain malignancy presents with elevated erythropoietin levels and PCV of 52%. Most likely tumour is

A
Renal Cell Carcinoma
B
Medullary thyroid carcinoma
C
Gastric Carcinoma
D
Colorectal CA
High-Yield Explanation
Answer- A. Renal Cell CarcinomaErythrocytosis (d/t secretion of erythropoietin by RCC) (but anemia is a more common finding)HypeensionAbnormal liver function (Stauffers syndrome ie non metastatic hepatic dysfunction)HypercalcemiaNeuromyopathyAmyloidosisIncreased ESR (MC paraneoplastic syndrome)DysfibrogenemiaGalactorrhoeaFeminization and masculanization

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