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A woman aged 48 was admitted to the hospital on April 14, 1934, with a history that she had suddenly collapsed while going to bed, the right leg having given way. The previous history was unimportant save that the patient had a radical mastectomy at another hospital about two years previously for carcinoma of the left breast.
Examination revealed a fracture of the right femur at the junction of the upper and the middle third. Roentgen examination showed this fracture to be due to a metastatic deposit in the bone. Further examination showed several small nodules in the skull, complete paralysis of the left side of the face and palpable glands in the left axilla and in the supraclavicular region.
Ten days after admission to the hospital the patient complained of pain in the left ear and on the left side of the head. There was a moderate amount
RUBIN H. METASTASIS TO THE PETROUS APEX FOLLOWING CARCINOMA OF THE BREAST. Arch Otolaryngol. 1936;24(1):95–97. doi:10.1001/archotol.1936.00640050102013
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