A 42-year-old woman presents to the ER with five hours of steadily increasing abdominal pain. The pain is associated with nausea and vomiting, and began soon after a heavy meal. Physical exam reveals an overweight middle aged woman in mild distress. She has no signs of jaundice. Her abdomen is exquisitely tender in the right upper quadrant. The remainder of the exam is normal. Ultrasound shows several 3 cm gallstones, an edematous gallbladder wall, and a positive sonographic Murphy’s sign. For what malignancy is she at increased risk?
A. Carcinoma of the gallbladder
B. Cholangiocarcinoma
C. Hepatoblastoma
D. Hepatocellular carcinoma
E. Pancreatic cancer
A. Carcinoma of the gallbladder
B. Cholangiocarcinoma
C. Hepatoblastoma
D. Hepatocellular carcinoma
E. Pancreatic cancer