This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
[{'content': 'Hematemesis is not the most common symptom of \nSelect and explain. \nA. Esophageal varices, B. Gastric ulcer, C. Carcinoma esophagus, D. Zollinger Ellison syndrome', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Clinical features of Carcinoma esophagus Early stage cancers: Asymptomatic or mimic symptoms of GERD MC symptom : Dysphagia >Weight loss Most patients with esophageal cancer present with dysphagia and weight loss, symptoms that usually indicate advanced disease Choking, coughing and aspiration from a tracheoesophageal fistula (In advanced cases) Hoarseness and vocal cord paralysis from direct invasion into the recurrent laryngeal nerve (In advanced cases) MC site of metastasis : Liver>lung>bone Paraneoplastic manifestation associated with adenocarcinoma : Motor neuropathy Ref: Sabiston 20th edition Pgno : 1038', 'role': 'assistant'}]