Case 50-1971

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Abstract
Presentation of CaseA 50-year-old woman was admitted to the hospital because of hypercalcemia.She had been well until 20 months previously, when there was the onset of fatigue. Nine months before entry the fatigue increased, accompanied by generalized muscle weakness, anorexia and a loss of 11 kg in weight during the next four months. Periodic nausea developed, and six months before admission she began to vomit intermittently. Five months before admission she became aware of a lump in the right side of the neck, which slowly increased in size. Four months before entry a dull ache appeared in the . . .
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