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August 5, 1944


Author Affiliations

San Jose, Calif.

JAMA. 1944;125(14):990. doi:10.1001/jama.1944.02850320048021

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To the Editor:—  In commenting on the article by Dr. George V. Kulchar on the treatment of hemangiomas in his article on "Benign and Malignant Tumors of the Foot," which appeared in The Journal, March 18, Dr. C. Russell Anderson (idid., May 27, p. 302) makes statements that should not go unchallenged.According to dermatologic opinion, although many such tumors may regress spontaneously, others may grow to unmanageable size and cause considerable disfigurement. If they do regress, residuals may remain. In 1 case of my experience on the head of a child a lesion the size of a finger nail remained untreated and at the end of a year was as large as a grapefruit and required four surgical procedures finally to reduce its blood supply, which at that time was enormous and was sufficient to cause hypertrophy of the child's heart. I would have been derelict in my duty

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