Case 2-1995

Presentation of CaseA 71-year-old man was admitted to the hospital because of masses in the pancreas, presacral region, and left kidney, with left hydronephrosis.The patient had a 2-year history of “tuberculous pleurisy” 47 years earlier in Europe, where he was born; pleural fluid was drained, and he received no antituberculous chemotherapy in later years. Twenty-eight years before admission he was first seen at this hospital because of chronic prostatitis with recurrent episodes of cystitis. Sixteen years before admission he had bilateral flank pain; an intravenous urographic examination showed no abnormality except for a moderate volume of residual urine. . . .