To the Editor.—
As Sadoff and Aronstam indicate,1 nonmetastatic (ie, operable) malignancies may appear with circumstantial evidence of metastatic spread, as manifested by constitutional symptomatology and/or abnormal laboratory, film or isotopic findings, which tend to dissuade the physician from definitive cancer surgery or to cause him/her to undertake same "with much reluctance."I have had occasion to review a case similar to one reported earlier,2 with identical long-term salubrious results.
Report of a Case.—
A 68-year-old woman was first seen in April 1974, with symptoms of anorexia, an 11.3-kg weight loss, and upper abdominal discomfort for the preceeding six months. Results of physical examination were essentially normal. Laboratory studies showed a mild anemia with a hemoglobin value of 11.2 gm and a hematocrit value of 34 vol%, treated elsewhere previously, without success, with oral iron. The disease was characteristic of the "anemia of chronic disease," and demonstrated normocytic,
Soble AR. Surgery as Cancer Cure. Arch Intern Med. 1978;138(3):496–497. doi:10.1001/archinte.1978.03630270100037
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