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The finding of a palpable gland in the axilla per se would not warrant a diagnosis of malignancy without its association with a mass in the breast. However, as is well illustrated by this case, a mass in the axilla should not be passed over lightly, but should be investigated when there is any reasonaly doubt as to its origin.
REPORT OF CASE
Mrs. C. Q. W., aged 45, entered the service of Dr. Thomas McHugh, White Memorial Hospital, Feb. 12, 1925, complaining of some slight pain and a small lump noticeable in the left arm pit. This lump was first noticed one week previously, and was accompanied by some pain and soreness. The patient thought that at first there was some soreness in the left breast, but it was not noticeable at examination. The patient felt discomfort when lying on the left side.Physical examination revealed a lump in
Butka HE. UNUSUAL CASE OF EARLY AXILLARY METASTASIS IN CARCINOMA OF THE BREAST. JAMA. 1925;84(15):1115. doi:10.1001/jama.1925.26620410002009b
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