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16297 Medicine

A 41-year-old man presented to the emergency department with a 9-month history of cough, exertional dyspnea, nocturnal diaphoresis, and weight loss of 10 kg. The physical examination revealed painless, massive, discrete, rubbery cervical, supraclavicular and axillary lymphadenopathy. Plain radiography of the chest showed bilateral hilar lymphadenopathy. The serum calcium level was elevated at 16.2 mg per deciliter; serum parathyroid hormone is within normal range. The treatment regimen consists of

AChemotherapeutic regimen of doxorubicin, bleomycin, vinblatine, and dacarbazine
BAnti tuberculosis regimen of INH, rifampicin, ethambutol and PAS
CLineac radiation to the chest
DRadial thyroidectomy and neck node dissection
Medicine
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