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December 5, 1903


Author Affiliations

Formerly Assistant Chief Resident Physician in the Philadelphia Hospital, Assistant Physician to the Medico-Chirurgical Hospital, Skiagrapher to the Medico-Chirurgical Hospital, Lecturer on Terminology and Symptomatology, and Demonstrator of Physical Diagnosis in the Medico-Chirurgical College. PHILADELPHIA.

JAMA. 1903;XLI(23):1406-1409. doi:10.1001/jama.1903.92490420024002f

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As a basis for the conclusions to be drawn in this paper, I have selected nine cases, each illustrating some special point of interest. I have omitted many of the details which would be of little interest to the general practitioner.

Case 1.  —Mrs. K. E., aged 84 years. Referred by Dr. Ulrich of Chester, Pa. The diagnosis was carcinoma of the right breast. Operation was contraindicated on account of the patient's age and on account of the condition of her heart. The growth was of one year's duration. There was a distinct retraction of the breast below the nipple, making a groove about two and a half inches in length. In connection with this there was a hard mass about the size of a hen's egg. Surrounding this central mass there were other masses of lesser size and of less density. The overlying skin was healthy. There was no axillary

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