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March 16, 1912


Author Affiliations


JAMA. 1912;LVIII(11):747. doi:10.1001/jama.1912.04260030145002

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Patient.  —Mrs. D., aged 22, primipara, gave birth to a normal robust child in January, 1912. Her puerperium presented nothing unusual until the fourth day, when she complained of swelling and pain in each axilla. At this time, because of the pain, she lay in bed with her arms extended at right angles to her body.

Examination.  —There was found in each axilla a tumor as large as a half orange, the base 3 inches in diameter, and the elevation 1% inches. The right tumor was covered by hair at its upper edge only, while the entire upper half of the left tumor was so covered. The skin over both tumors was entirely normal, not reddened, although quite tense. The tumors were bounded behind by the latissimus dorsi, in front by the pectoralis major, were separated from the normal breast by a distance of 1 inch, and were freely movable

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