Abstract
BACKGROUND: The importance of a broad differential diagnosis is highlighted by a complex patient case. CASE: A young woman returned from her honeymoon complaining of activity-limiting pain. The evaluation revealed multiple constitutional symptoms, a breast mass, a large pelvic mass, pulmonary abnormalities, an external iliac venous thrombosis, and lytic bone lesions. Biopsies from several sites revealed no evidence of neoplasia. CONCLUSION: Consideration of potential etiologies outside of one's practice specialty may be necessary to make a correct diagnosis.
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