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March 4, 1939

EXTRARECTAL METASTATIC GROWTHS FROM UPPER ABDOMINAL AND MAMMARY CANCER: REPORT OF SEVENTEEN CASES

Author Affiliations

PHILADELPHIA

From the Radiologic Department of the Philadelphia General Hospital and the Proctologic Department of the Temple University Hospital.

JAMA. 1939;112(9):808-814. doi:10.1001/jama.1939.02800090018004
Abstract

The relative frequency with which extrarectal metastatic deposits are encountered, the realization that the condition is seldom recognized and the fact that the condition has been confused with and incorrectly diagnosed as primary rectal carcinoma prompt a brief discussion of this entity, since it invades many fields of scientific medicine.

Seventeen cases that have come under my observation during a comparatively short period are reported here.

Case 1.—  J. W., a Negro aged 49, admitted to the hospital April 3, 1937, because of abdominal pain, had been in good health until the previous January, when pain was experienced in the pit of his stomach immediately after eating. During the past two weeks difficulty, as well as frequency, and a burning sensation on urination had been noted. Bowel movements had been associated with straining for the past month; the stools had been tarry for several weeks. The patient said that he

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