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November 10, 1900


Author Affiliations


JAMA. 1900;XXXV(19):1191-1192. doi:10.1001/jama.1900.24620450005001a

In the spring of 1899, a small tumor appeared between the upper lid and the superior margin of the right orbit in a girl of 13. It received no medical attention until the autumn, when she applied to the out-patient department of the Jefferson Medical College. She stated that recently the tumor had increased in size and that the lid was swollen and drooping. The growth was painless and insensitive except on hard pressure; it was hard and inelastic, and projected about two millimeters beyond the vertical plane of the anterior margin of the orbit. The tumor was partly movable and was attached to the roof of the orbit a few millimeters back of the bony margin. Its anterior edge was rounded, quite smooth and thin, as though it belonged to a flat tumor about the size of a silver dollar. The lid was edematous and its elevator paretic. The

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