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April 20, 1940


JAMA. 1940;114(16):1546. doi:10.1001/jama.1940.62810160003010a

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The following instance of carcinoma of the penis is of interest for three reasons: (1) the long history and the nature of the precancerous lesion, (2) the fulminating character of the growth, and (3) the distribution of the metastases.

REPORT OF CASE  A man aged 62, married, machinist, the father of four children, stated that he had never had any venereal disease. Thirty-five years earlier, at the age of 27, he had been circumcised, and from that time forward on the scar of the circumcision, at the lower proximal rim of the sulcus, there was a dry crust continually forming, rubbing off and reforming.Three weeks before his admission to the hospital this condition suddenly changed and a "sore" developed at the site of the crust and began rapidly eating away the end of the penis. At the same time a swelling appeared in the right groin, and he began

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