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Article
August 23, 1958

PRESENTATION OF CASE

Author Affiliations

Chicago

From the Department of Pathology, University of Chicago. Dr. Archambeau is now at the Tumor Institute of The Swedish Hospital, Seattle, as a Trainee, National Cancer Institute.

JAMA. 1958;167(17):2074-2076. doi:10.1001/jama.1958.72990340010007

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Abstract

A 56-year-old man was first hospitalized May 2, 1954, because of a change in his bowel habits and weight loss. His blood pressure was 150/80 mm. Hg, and his pulse rate 90 per minute. His heart sounds were of good quality, cardiomegaly was not noted, and the electrocardiogram (ECG) showed a left axis deviation with a minor intraventricular conduction defect. A roentgenogram of the chest was normal. A biopsy specimen was taken from a fungating tumor of the rectum which extended 4 to 14 cm. above the mucocutaneous junction. Histological examination revealed mucosecretory adenocarcinoma. A combined abdominoperineal resection was performed and examination of the specimen revealed metastases in 2 of 20 regional lymph nodes. After discharge he remained well for 18 months then was readmitted on Feb. 8, 1956, because of fracture of the right clavicle which contained a tumor mass measuring 9 by 6 by 6 cm. His blood

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