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Previous Volume 354:1828-1837 April 27, 2006 Number 17 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

Dr. Brian M. Wolpin (Hematology and Oncology): A 50-year-old man was referred to the cancer center of this hospital because of a painful lytic bone lesion of the right ulna and multiple hepatic masses that had been identified on computed tomography (CT).

Four months earlier, the patient had noted pain and stiffness in the right elbow that was exacerbated by movement. There was no history of trauma. His primary care physician diagnosed a syndrome associated with overuse. A 10-day course of prednisone and a trial of rofecoxib resulted in no improvement over a period of 6 weeks. Two and a . . . [Full Text of this Article]

Differential Diagnosis

Dr. Andrew Zhu's Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis

Source Information

From the Cancer Center (A.X.Z.) and the Departments of Radiology (D.V.S.) and Pathology (R.P.H.), Massachusetts General Hospital; the Department of Radiation Oncology and the Division of Pediatric Oncology, Dana–Farber Cancer Institute, Brigham and Women's Hospital, and Children's Hospital Boston (A.D.D.); and the Departments of Medicine (A.X.Z.), Radiation Oncology and Pediatrics (A.D.D.), Radiology (D.V.S.), and Pathology (R.P.H.), Harvard Medical School — all in Boston.

Related Letters:

Case 13-2006: A Man with a Bone Mass and Lesions in the Liver
Schwartz J. D., Hasserjian R. P., Zhu A. X.
Extract | Full Text | PDF  
N Engl J Med 2006; 355:422-423, Jul 27, 2006. Correspondence

This article has been cited by other articles:

• Schwartz, J. D., Hasserjian, R. P., Zhu, A. X. (2006). Case 13-2006: a man with a bone mass and lesions in the liver.. NEJM 355: 422-423 [Full Text]