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To the Editor:
—The question concerning postpartum reduction in size and firmness of the breast (Questions and Answers, JAMA181:724 [Feb 23] 1963) prompts me to share the following interesting example of the adage, "the unexpected always happens." In referring to the Chiari-Frommel syndrome, the consultant noted that treatment is, "unhappily, usually unsatisfactory." My treatment of a recent patient with that clinical complex proved unhappily, unusually satisfactory. An initial response to a course of radiation was short-lived, and subsequent surgical intervention demonstrated a cystic, chromophobe tumor.In keeping with the previously recognized trophic and target organ deficiencies and the radiation and operative treatments, replacement therapy with thyroid and cortisone was begun. Regret was expressed that a satisfactory hormone was not available to restore fertility. This disheartening news was received by the patient with no great dismay, perhaps because of the existing burden of family responsibility. Apparently freed of the
Gumpel RC. Reduction in Size and Firmness of Breast. JAMA. 1963;184(10):836. doi:10.1001/jama.1963.03700230136024
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