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June 1934


Arch Derm Syphilol. 1934;29(6):952-962. doi:10.1001/archderm.1934.01460120149019

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Spiegler-Fendt's Sarcoid. Presented by Dr. George M. MacKee.  This housewife, aged 58, when first observed on Nov. 24, 1933, complained of a steadily enlarging mass on her right breast which had been present for three months. There have been no subjective symptoms.Situated 2.5 cm. below and mesially to the right nipple is a bright red, oval, elevated mass 3 by 2 cm., with the long axis lateral. The surface is smooth and irregular, and near the inner border are several papules the size of a millet seed, more or less translucent and shiny. On palpation the tumor, while firm, does not have a cartilaginous or even a fibrous consistency. The sensation is rather that of feeling soft rubber.Beyond the distal border of the mass is a group of palpable, slightly reddened papules the size of a pinhead the color of which is obliterated on diascopic pressure, leaving whitish-yellow

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