24th September 2020

A 67-year-old male presents to his GP with a 1-month history of generalised pruritus

A 67-year-old male presents to his GP with a 1-month history of generalised pruritus, fatigue, unintentional weight loss and dyspnoea. He is a chronic smoker with a 25-pack year history and has a past medical history of chronic UTIs. Urinalysis shows microscopic haematuria. 

What is the most likely diagnosis?

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