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Article
April 1924

NEW YORK ACADEMY OF MEDICINE, SECTION ON DERMATOLOGY AND SYPHILIS

Arch Derm Syphilol. 1924;9(4):504-521. doi:10.1001/archderm.1924.02360220084009

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Abstract

PAGET'S DISEASE. CARCINOMA OF THE BREAST. Presented by Dr. Gilmour.  The patient did not speak English. Her family history was negative. Three years ago a redness appeared on, and for a short distance around, the left nipple. The breast and nipple remained normal until a hardness appeared eight months ago. There had been no itching, but moderate "sticking" pains in the breast at times since the redness appeared. Examination revealed that the left nipple was retracted and fixed. An area extending to the edge of the areola was red, slightly granular and glazed. It was slightly moist. The margin was sharply defined. This area was much indurated. An enlarged indurated gland was present in the left axilla.

DISCUSSION  Dr. Levin said that the patient appeared at the Cornell clinic three days prior to presentation. The condition would be treated surgically by complete excision of the breast and adjacent lymph nodes.

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