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Case Records of the Massachusetts General Hospital
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Volume 332:174-179 January 19, 1995 Number 3
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Case 2-1995— A 71-year-old man with masses in the pancreas, presacral region, and left kidney
W.S. McDougal, and V. Nickeleit

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Presentation of Case

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 . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. W. Scott McDougal's Diagnosis

Pathological Discussion

Anatomical Diagnosis

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