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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 347:1952-1960 December 12, 2002 Number 24
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Case 38-2002 — A 54-Year-Old Man with Hypercalcemia, Renal Dysfunction, and an Enlarged Liver
John K. Erban, and Zuoquin Tang

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Presentation of Case

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 . . . [Full Text of this Article]

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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