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A man in his 70s with a medical history of noninvasive bladder cancer presented to his primary care clinic with significant weight loss. He had lost 30 pounds unintentionally during the previous 6 months, which he attributed to poor appetite. He denied dysphagia, abdominal pain, diarrhea, melena, hematochezia, and urinary abnormalities; the remainder of his review of systems yielded negative results. Bladder cancer had been diagnosed 9 years prior and treated surgically; surveillance cystoscopy with biopsy 1 year prior had yielded normal results. Subsequently, he was lost to follow-up.
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Corresponding Author: Joshua Khalili, MD, 757 Westwood Plaza Drive, Los Angeles, CA 90095 (email@example.com)
Published Online: October 7, 2019. doi:10.1001/jamainternmed.2019.4480
Conflict of Interest Disclosures: None reported.
Additional Contributions: We thank the patient for granting permission to publish this information.
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