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A 72-year-old man was transferred to this hospital from another hospital because of rapidly progressive leukemia and multiorgan failure.
The patient had lost an unknown amount of weight during the preceding two months, but he was considered to be in stable condition, with mild chronic renal failure (creatinine level, 1.9 mg per deciliter [168 µmol per liter] nine months before admission). Twenty-three days before admission, laboratory studies were performed at another hospital in preparation for an elective transurethral resection of the prostate gland (Table 1 and Table 2).
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Differential Diagnosis
Lymphadenopathy and Lymphocytosis
Hypercalcemia
HTLV-IAssociated Adult T-Cell LeukemiaLymphoma
Infectious Complications in Adult T-Cell LeukemiaLymphoma
Other Lymphoproliferative Disorders in Adult T-Cell LeukemiaLymphoma
Summary
Clinical Diagnosis
Dr. Francine M. Foss's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Source Information
From the Department of Hematology/Oncology, New England Medical Center, and the Department of Medicine, Tufts University Medical Center (F.M.F.); and the Departments of Radiology (S.L.A.) and Pathology (J.A.F.), Massachusetts General Hospital and Harvard Medical School all in Boston.
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