17th July 2020

A 78-year-old woman presents to you, the GP, with 6kg of weight loss

A 78-year-old woman presents to you, the GP, with 6kg of weight loss, vague continuous epigastric pain, and generalised pruritus over the last month. She is a smoker of 50 pack years but drinks no alcohol. On examination, she is cachectic, and her sclera appear yellow. She has no fever. What is the most likely diagnosis?

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