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A 71-year-old man was admitted to the hospital because of masses in the pancreas, presacral region, and left kidney, with left hydronephrosis.
The patient had a 2-year history of "tuberculous pleurisy" 47 years earlier in Europe, where he was born; pleural fluid was drained, and he received no antituberculous chemotherapy in later years. Twenty-eight years before admission he was first seen at this hospital because of chronic prostatitis with recurrent episodes of cystitis. Sixteen years before admission he had bilateral flank pain; an intravenous urographic examination showed no abnormality except for a moderate volume of residual urine. Three years later
Differential Diagnosis
Clinical Diagnosis
Dr. W. Scott McDougal's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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