5th April 2024

A 51-year old lawyer attends the oncology outpatient department for follow-up for his metastatic melanoma

A 51-year old lawyer attends the oncology outpatient department for follow-up for his metastatic melanoma. He has recently completed a successful course of treatment with pembrolizumab and his cancer is in remission. On questioning, the patient admits to feeling exhausted and depressed over the last couple of weeks. He also states that during this time he hasn’t had much of an appetite, has been feeling nauseous and has vomited a few times. The patient tolerated his treatment very well and had no significant side effects. What is the most likely underlying cause of this patient’s symptoms?

Select the SINGLE most appropriate option from the list below. Select ONE option only.