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1 A 55-year-old woman has been steadily gaining weight for the past 30 years. The medical history includes acholecystectomy for cholelithiasis 5 years ago.

1 A 55-year-old woman has been steadily gaining weight for the past 30 years. The medical history includes acholecystectomy for cholelithiasis 5 years ago. She does not smoke. She is now 164 cm (5 ft 4 in) tall and weighs 126 kg (BMI 47). On physical examination, she has decreeased range of motion with pain on movement of the knees. Laboratory studies show a serum glucose level of 176 mg/dL. This patient is at greatest risk of developing which of the following neoplasms? (A) Colonic adenocarcinoma (B) Endometrial carcinoma (C) Hepatocellular carcinoma (D) Pulmonary adenocarcinoma (E) Renal cell carcinoma

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