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Article
February 1935

CHICAGO LARYNGOLOGICAL AND OTOLOGICAL SOCIETY: Nov. 5, 1934

Arch Otolaryngol. 1935;21(2):239-247. doi:10.1001/archotol.1935.00640020248017

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Abstract

MULTIPLE CARCINOMA (PATHOLOGIC SPECIMEN). FRANCIS L. LEDERER.

Mr. R. H., aged 55, married, stated that about one year ago he became hoarse, and that this condition became progressively worse. He was first seen in my clinic at the Illinois Research and Educational Hospital early in March 1934. The past history was essentially negative. Examination of the larynx revealed a marked infiltration of the left true and false cords and of the left arytenoid and aryepiglottic fold, with ulceration of these areas. Biopsy revealed a noncornifying squamous cell carcinoma. The Wassermann and Kahn reactions were 4 +.

Treatment consisted of roentgenotherapy by the Coutard method. A 10 cm. square field was used, with 200 roentgens (r) alternately to the right and left sides daily for a total of 3,800 r to each side and a total of 7,600 r to the larynx. The treatment was begun on June 5 and ended

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