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男性,59岁,因发热(39℃)、咳嗽、食欲减退和体重减轻(由190磅降至165磅)4个月,于1978年5月被送入医院。他不吸烟,不喝酒。他没有服药。1956年因肾细胞癌行右肾切除术。无转移病史,未接受后续治疗。体格检查显示发育较好,但表现苍白和慢性病容,体温37.8℃,体重165磅。右胁有一愈合良好的外科疤痕。巩膜无黄疸,眼底无出血及渗出物,无肿大淋巴结。心肺正常。肝脾未扪及,亦未扪及肿块。实验室数据:血球容积34,血色素10.9gm,(平均细胞容量78,血色素25,浓度32),白细胞计数9000,分类正常,血小板
The male, 59 years old, was hospitalized in May 1978 for fever for 4 months due to fever (39°C), cough, loss of appetite, and weight loss (from 190 pounds to 165 pounds). He does not smoke or drink. He did not take medicine. Right kidney nephrectomy was performed in 1956 for renal cell carcinoma. No history of metastasis and no follow-up treatment. Physical examination showed better development but paleness and chronic disease, a body temperature of 37.8°C and a weight of 165 pounds. There is a well-healed surgical scar in the right flank. There was no jaundice in the sclera, no hemorrhage and exudate in the fundus, and no enlarged lymph nodes. Normal heart and lung. The liver and spleen were not sputum, and no palpable mass was found. Laboratory data: Hematocrit 34, Hemoglobin 10.9 gm, (mean cell volume 78, hemoglobin 25, concentration 32), white blood cell count 9000, normal classification, platelets