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Article
April 27, 1912

PROSTATIC CARCINOMA IN A YOUTH

Author Affiliations

SAN FRANCISCO

JAMA. 1912;LVIII(17):1282-1283. doi:10.1001/jama.1912.04260040298020

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Abstract

Patient.  —L. P. R., aged 17, American, machinist apprentice, was admitted Oct. 2, 1911. Family history negative. Previous history: no recorded illness except diphtheria when 8 years old. The present illness began about seven weeks before admittance, with colicky pains in lower left side of abdomen accompanied by vomiting. Pains radiated to left testicle. There was incontinence of urine a ffected by posture; no hematuria. After four weeks the pain shifted to right side of lower abdomen and radiated to right testicle. The patient lost much weight.

Examination.  —Well-nourished, fairly well-developed young man. Pulse and respiration normal. Eyes normal. No eruption. Tongue clean. Heart and lungs negative. Rectal examination bimanually showed hard, lobulated enlargement of the prostate, which was particularly painful on palpation. Urina lysis: Clear; specific gravity 1018; acid; no sugar nor albumin; no casts (on admission).

Clinical Diagnosis.  —Sarcoma of the prostate. Death occurred Jan. 12, 1912.

Post-Mortem 

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