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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 331:1079-1084 October 20, 1994 Number 16
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Case 38-1994— A 55-Year-Old Man with a Paraspinal Mass and a History of Radiation Treatment of a Testicular Tumor
David C. Harmon, and G. Petur Nielsen

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Presentation of Case

A 55-year-old man was admitted to the hospital because of a tender left paraspinal mass.

The patient had been well until eight months earlier, when he began to experience pain and tenderness near the left costovertebral angle. The pain gradually worsened and radiated around the left flank along the 11th rib. His physician ascribed the pain initially to a renal stone and later to an "irritable colon." A barium-enema examination was negative. A computed tomographic (CT) scan of the abdomen was said to show a left paraspinal mass, 3 to 4 cm, within the left erector spinae muscle overlying the . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. David C. Harmon's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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