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Carcinomatosis. Presented by Dr. H. F. DeWolf.
E. B., a white woman, aged 54, from the medical service at the Cleveland City Hospital, was admitted May 18, 1932, complaining of shortness of breath, cough, hemoptysis, loss of weight, pains in the shoulders and arms and lumps over the body. About two years prior to admission, a growth had developed on the right frontotemporal region of the scalp. One year later, the lesion was excised; it was considered to be a sebaceous cyst. Shortly after this operation, more lesions began to appear over the scalp and later over the neck and trunk. These tumors have slowly increased in size. The patient has lost about 50 pounds (22 Kg.) in the year before admission. Six months before admission coughing with some hemoptysis began.
The patient's skin had a yellowish color. Over the scalp there were several dull red nodular lesions, somewhat lobulated,
Driver JR, Netherton EW. CLEVELAND DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1933;27(1):175–180. doi:10.1001/archderm.1933.01450040178020