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A 60-year-old Japanese man presents to your office with epigastric pain following 1-month of unintentional weight loss. He reports that he eats a very traditional Japanese diet, and consumes low-fat smoked fish on a daily basis. On physical exam, you note the skin finding seen in Figure A. If this patient undergoes aggressive surgical treatment for his most likely diagnosis, which of the following may result?
Increased prothrombin time
Acute cellular rejection
Esophageal squamous cell carcinoma
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A 70-year-old female presents to your office with nausea, vomiting, and 3 months of weight loss. On physical exam, you observe a finding seen in Figure A. You suspect adenocarcinoma, and you immediately order a biopsy to ascertain the extent of metastatic disease. In which of the following organs would you observe the primary tumor with abundant mucus and signet ring cells on biopsy if metastatic disease were present?