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January 26, 1924


JAMA. 1924;82(4):303. doi:10.1001/jama.1924.26520300002014c

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Mrs. W. S., aged about 46, of Arapahoe, Neb., mother of a boy of 16, entered the hospital, Aug. 21, 1923. Her general health had always been good, with regular menstruations, until two years previous, when menstruation ceased. Her face was pinched, her skin flabby and cold. Her whole condition seemed subnormal. About fifteen years ago she first noticed an increase in the size of the abdomen and felt that she had a "tumor"; but as two sisters had had tumors and had died following operation, she had refused any operative procedure until she made her visit to Illinois. During these years her weight had increased from 100 to 176½ pounds (from 45 to 80 kg.), the weight at the time of her appearance. A diagnosis was made of tubal or ovarian cyst. The tumor was so large that it reached nearly to her knees. Walking was difficult, owing to

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