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30th May 2023
A 75-year-old woman presents to her GP with abdominal discomfort and early satiety
A 75-year-old woman presents to her GP with abdominal discomfort and early satiety. On examination, she has fullness in her left upper quadrant which is dull to percussion. She has a history of hypertension which is well controlled and was treated for gout 6 months previously.
Her GP arranges bloods which show the following:
| Hb | 110 g/L | (120-170 g/L) |
| WCC | 22 x 10⁹/L | (3.6-11 x 10⁹/L) |
| Platelets | 460 x 10⁹/L | (150-400 x 10⁹/L) |
| Neutrophils | 16 x 10⁹/L | (1.8-7.5 x 10⁹/L) |
| Lymphocytes | 2.1 x 10⁹/L | (1.0-4.0 x 10⁹/L) |
| Basophils | 1.1 x 10⁹/L | (0.02-0.10 x 10⁹/L) |
| Eosinophils | 0.8 x 10⁹/L | (0.1-0.4 x 10⁹/L) |
| Monocytes | 0.7 x 10⁹/L | (0.2-0.8 x 10⁹/L) |
What is the most likely diagnosis?
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