Abstract
![Figure][1] A 40-year-old male presented with weakness, weight loss, and an inguinal mass for 14 months. Hemoglobin was 6.6 g/dL, mean corpuscular volume 89.4 fL, mean corpuscular hemoglobin 29.0 pg, white cells 2.0 × 109/L, and platelets 91 × 109/L. Blood chemistry showed: lactate
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