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After a large number of experiments in the removal of malignant growths affecting the eyelids, or their immediate vicinity, by caustics and various surgical procedures, I have come to the conclusion that the best method is extirpation by the knife and restoration of lid by plastic operation, and as a good example I present the following case:
Basil Shipley, farmer, age 60, from Carroll County, Md., was first seen by me March 1, 1892. At that time he had what was evidently (I speak from a clinical standpoint) an epithelioma of inner side of left eye. It involved the inner margin of both lids; the upper to about one-fifth its extent, and the lower to nearly or quite one-third, and extended over or to the side of the nose. Roughly speaking, it covered a surface the size of a quarter of a dollar.
Two previous operations had been done; one
HARLAN H. CASE OF EPITHELIOMA OF EYELIDS PLASTIC OPERATION, WITH EXHIBITION OF PATIENT. JAMA. 1895;XXV(16):661–662. doi:10.1001/jama.1895.02430420017002g
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