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August 24, 1935


JAMA. 1935;105(8):615. doi:10.1001/jama.1935.02760340061027

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To the Editor:—  To the extensive bibliography of the paper by Dr. N. R. Ingraham Jr., Preputial Calculus, a Clinical Rarity (The Journal, July 13, p. 106) I wish to add the case described by D. Giordano (Compendio di Chirurgia Italiana, Turin, Unione Tipografica Editrice Torinese 2:746, 1911) which, freely translated, reads as follows: "I was asked by a colleague to see a clergyman and to be ready, eventually, to perform an amputation for cancer of the glans penis. The foreskin was abnormally distended, showing bluish veins, an extreme phimosis, a muddy fluid of foul odor leaking from the narrow passage. The palpation was painful and impressive of a stony consistency about the glans penis. When the opening was cleaned and the foreskin made to slide in various directions, a whitish surface of calcareous appearance was noticed, against which the probe produced a sound like over a stone. And

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