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This sarcoma was removed from a child 18 months old. There was no history of injury or acute disease. About six months before the operation a tumor was discovered in the child's right side, which gradually enlarged. I saw the case the last week in September and told the parents I would operate if they desired it but did not offer them any encouragement. They declined the operation at that time but returned the middle of November with the request that I operate, even if the child died. I operated with a kind of protest, they knowing all the dangers.
At the time of operation the tumor filled the entire side of the abdomen extending down into the pelvis; it was of enormous size compared with the size of the child. I operated by what is called Langenbeck's method. The incision through the wall is made in the linea semilunaris.
GRAHAM DW. A CASE OF NEPHRECTOMY FOR SARCOMA OF THE KIDNEY. JAMA. 1895;XXIV(16):588–589. doi:10.1001/jama.1895.02430160016002e
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