<prompt> A 55-ycar-old woman presents with progressivelydeepening jaundicc, uncontrollable pruritus, painin the abdomen right upper quadrant and yellowcoloured urine. Investigations revealed -Viral hepatitisCirrhosis of liverHepatocellular carcinomaCarcinoma of head of the pancreas  <response>: 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. 