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December 31, 1898

Carcinoma of Breast and Tubercular Abscess.

JAMA. 1898;XXXI(27):1581. doi:10.1001/jama.1898.02450270033010

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Sac City, Iowa, Dec. 20, 1898.

To the Editor:  —The apparently increasing tendency of tubercular abscess and carcinoma of the mammary region leads the writer to briefly recite the history of a case on whom he operated for such affections:Mrs. S., white, 30 years of age, called at my office for treatment for rheumatism, complaining of intense pain in the chest. She had constant dread of cancer of the breast. On the right breast, just below the nipple, a growth was noticed, about the size of a walnut. The other breast was normal. There was enlargement of ankle-joint, pain in the fingers, but the glands did not seem to be enlarged. There was discoloration of the right nipple, which was somewhat retracted. There was a history of tuberculosis on the father's side, and one aunt and sister had been operated on for cancer. Her urine was acid in reaction;

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