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Robert B., aged 57, a farmer, and native of Switzerland, entered the St. Louis City Hospital March 3, 1899, giving the following history: He had always enjoyed good health, suffering only with the minor ailments of childhood, and with an attack of double pleurisy at the age of 20. His family history was negative. He was accustomed to drinking on an average, five glasses of beer daily, and a small one of whisky early in the morning. He had smoked a pipe incessantly from 12 years of age. He denied having had syphilis, and has never been injured. The malady that ultimately caused his death began about two years ago, at which time, while laboring in the field he was suddenly seized with an excruciating pain in the pit of the stomach, the right side of the chest and the right shoulder, which compelled him to stop his work and
HARRIS RC. REPORT OF A CASE OF PRIMARY CARCINOMA OF LIVER.. JAMA. 1900;XXXIV(25):1613–1615. doi:10.1001/jama.1900.24610250025003j