A 55-ycar-old woman presents with progressively

deepening jaundicc, uncontrollable pruritus, pain

in the abdomen (right upper quadrant) and yellow

coloured urine. Investigations revealed -
Around 60% of tumours arising from head of pancreas and involvement of common bile duct result in the development of obstructive jaundice, often with severe pruritis. Advanced stage present with central abdominal pain, weight loss, pain radiates from upper abdomen from back.
Viral hepatitis
Cirrhosis of liver
Hepatocellular carcinoma
Carcinoma of head of the pancreas