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A 54-year-old man was admitted to the hospital because of possible metastatic carcinoma with hypercalcemia and renal dysfunction.
The patient had been in good health until about six weeks earlier. At that time, he began a reduced-calorie diet with exercise, and after three weeks of that regimen, his body weight had declined from 118.8 kg to 102.7 kg. He believed that his face was thinner than it had been but that his abdomen was enlarging, and he began to have severe, diffuse abdominal pain; lethargy; daily temperatures of up to 38.3°C; and occasional night sweats. Two and a half weeks
Differential Diagnosis
B Symptoms
Hypercalcemia
Differential Diagnosis of an Undifferentiated or Poorly Differentiated Tumor
Clinical Diagnosis
Dr. John K. Erban's Diagnosis
Pathological Discussion
Anatomical Diagnosis
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