Clamon G, Henry K, Loening S
Department of Internal Medicine, University of Iowa, College of Medicine, Iowa City.
Urology. 1990 Nov;36(5):465-6. doi: 10.1016/s0090-4295(90)80299-3.
A patient with a mediastinal germ cell neoplasm evidenced fever, weight loss, pruritus, and painful adenopathy on ingestion of alcohol. Retrospective review revealed that 9 percent of 104 patients with advanced germ cell neoplasm evidence constitutional symptoms at presentation.
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