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August 3, 1935


JAMA. 1935;105(5):355-356. doi:10.1001/jama.1935.92760310001008

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The case we are about to present should be of interest to the medical profession for four reasons: (1) the rarity of the condition, (2) the atypical clinical changes, (3) the interesting hepatography and (4) the necropsy.

Primary carcinoma of the liver is a rare entity both clinically and at autopsy. The lesion is present in approximately one out of 2,000 necropsies. Furthermore, primary carcinoma is usually found to inhabit the right lobe of the liver. The following report deals with a primary carcinoma of the left lobe of the liver:


History.  —H. M., a white man, aged 70, a laborer, single, admitted to the hospital in April 1934, complained of generalized abdominal pain, anorexia, weakness, loss of weight and the presence of a "lump" in the left epigastric region. The onset began one year before observation with abdominal pain and fulness after the

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