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December 1930

REMOVAL OF METASTATIC CARCINOMA OF THE LUNG AND MEDIASTINUMSUGGESTIONS AS TO TECHNIC

Arch Surg. 1930;21(6):1416-1424. doi:10.1001/archsurg.1930.01150180532028

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Abstract

History.  —Mrs. C. T., aged 42, had had a complete hysterectomy for carcinoma, performed by Dr. Arthur Stein in May, 1927. The recovery was normal in all respects, except that a vesicovaginal fistula ensued. This was operated on by Dr. Stein in August, 1927, and healed.The patient remained well until August, 1929, when she began to complain of dysphagia, which by November became so much worse that she was no longer able to eat solid food. Her weight dropped from 105 pounds (47.6 Kg.) in August to 90 pounds (40.8 Kg.) in December. There was no history of pulmonary disease, no cough or pain in the chest. Occasionally, she felt her heart pound somewhat.Roentgen examination on December 26 revealed a large, smooth, round, sharply circumscribed mass in the right portion of the chest, extending beyond the right border of the heart. It occupied the area of the eighth,

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