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September 17, 1887


JAMA. 1887;IX(12):379-382. doi:10.1001/jama.1887.02400110027008

Hofstetter—Tuberculosis of Ribs—Kocher—Antisepsis— Kocher's Method of Suturing — Antiseptic Catgut—Struma Operations—Injection of Salt Solution — Tubercular Synovitis of Elbow — Synovial Tuberculosis of Knee—Cavel—Tubercular Implantations in Animals—Julliard—Struma Operation—Hospital Tents.

Dear Dr. Fenger:  —In Lucerne I visited the Kantonspital, which contains about 80 beds. The surgical wards are in charge of Dr. Hofstetter, a young surgeon of more than average ability. When I called he was just getting ready to remove a carcinoma of the mamma in a lady 76 years old. The tumor was about the size of a pullet's egg, firm, immovable and located at a point corresponding to the right margin of the left breast. The patient had noticed the swelling for several years, but it had given no particular inconvenience until recently, when it became painful and tender; axillary glands not enlarged. As the tumor appeared to be attached firmly to the bony wall of the chest

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