Interstate medical journal (1909) (14783506422)
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Identifier: interstatemedica1619unse (find matches)
Title: Interstate medical journal
Year: 1909 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities
Text Appearing Before Image:
derstood as recom-mending curettement, only it is of interest to note how long the diseasemay be localized entirely to the mucosa. And yet it is never possible tosay just when metastasis even to distant organs may take place in theseearly adenocarcinomata of the body. I recall an autopsy in Vienna inwhich just such a small polyp was associated with diffuse peritonealcarcinosis. And this year I saw in consultation a patient in whom be-ginning cancer of the body was attended with a much larger metastasisin the bladder. In six of the cases in this series the cancer was recurrent afterhysterectomy. Four patients were clearly in a hopeless condition, whenseen by me. One, referred to me by Dr. Kelly, of Baltimore, had justrecovered from a secondary laparotomy done by him in which the affectedcarcinomatous lymph glands were found closely adherent to the iliacveins and their removal consequently abandoned. In this list also be-longs a patient whom Dr. Gellhorn had operated on by the abdominal
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Figure 5.— (Private Case.) Early adeno-carcinoma of the fundus removed byvaginal hysterectomy. Operation January 14, 1908. Recovery. A bit of paperis slipped under the carcinomatous polyp in the fundus.