QUESTION STEM (Not more than 100 words) Clinical Scenario:

A 58-year-old woman presented to medical OPD with fatigue, progressive pallor and left upper abdominal discomfort for 1 months. His blood CP shows Hemoglobin 9 gm/dL, platelet count of 457000, WBC count of 32000 with 73% neutrophils, 2% basophils, Lead-in: What is the most likely diagnosis?

OPTIONS (In alphabetical order)
A.
B.
C.
D.
E.

KEY (Best/Correct option) ___A___

REFERENCE: Campbell’s Surgical
Edition 14
Chapter 22
Page 234