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Metastatic Carcinomatosis. Presented by Dr. D. V. Omens and (by invitation) Dr. Harold Omens and Dr. S. Barsky.
H. R., a 45 year old Negro woman, complained of painful masses in both groins of six months' duration and swelling of both legs of two weeks' duration. The lesions had first developed as "pimples" in both groins while the patient was receiving arsenotherapy for late latent syphilis in February 1948. She has had recurrent edema of the whole leg for the past three years, worse on the right than on the left.
One year ago she had a sore throat of two weeks' duration. A diagnosis of diphtheritic laryngitis was not confirmed at that time. The patient has had a nasal voice since then.
On examination there are seen to be bilateral, tender, purplish red tumors, many of which are ulcerated and fluctuant, in both inguinal regions. There is moderate
Becker SW, Weber LF. CHICAGO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1950;61(6):1039–1060. doi:10.1001/archderm.1950.01530130157020
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