An Anatomy Lesson

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Abstract
A 52-year-old man had a seven-month history of fatigue, weight loss, and pain in the lower abdomen and low back. Three months earlier, he had undergone a barium enema and upper endoscopy after he was found to have a hematocrit of 29 percent with a mean corpuscular volume of 76 cubic micrometers. Both studies were negative, and a trial of oral iron therapy failed to correct the anemia. His examination and laboratory data at the time of referral revealed no abnormalities other than a swollen left testicle, a condition that had appeared during the same period.The combination . . .

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