Case 11
Clinical History:
A 39 year-old male presented to the EW with an eight month history of worsening back and right should pain accompanied by a twenty pound weight loss. Twenty years earlier, he had undergone an orchiectomy for an undescended testicle and had been treated in 1967 for urethritis while in Vietnam. Physical examination was remarkable only for hepatomegaly. His hematocrit was 36%, ESR 122mm/hr, iron 18, TIBC 204, alkaline phosphatase 199; other liver function studies were normal. CEA, AFP, SPEP and B-HCG levels were normal.
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J. Anthony Parker, MD PhD, jap@nucmed.bih.harvard.edu
