. Annals of surgery . ptomsrecurred, and another tumor developed in the left supraclavicular region. The patientwas referred to me by Dr. Charles H. Mayo in July, 1919, for advice and examination at this time showed a large tumor in the riglit lower abdo-men, apparently retroperitoneal metastases from the primary tumor of the testicle. 382 MALIGNANT DISEASE OF THE TESTIS The left supraclavicular region was occupied by a tumor about the size of a hensegg. apparently another metastatic growth from the primary sarcoma of the patient was admitted to the Memorial Hosp
. Annals of surgery . ptomsrecurred, and another tumor developed in the left supraclavicular region. The patientwas referred to me by Dr. Charles H. Mayo in July, 1919, for advice and examination at this time showed a large tumor in the riglit lower abdo-men, apparently retroperitoneal metastases from the primary tumor of the testicle. 382 MALIGNANT DISEASE OF THE TESTIS The left supraclavicular region was occupied by a tumor about the size of a hensegg. apparently another metastatic growth from the primary sarcoma of the patient was admitted to the Memorial Hospital and treated with systemictoxins alone. After two weeks treatment, the mediastinal tumor had diminishedto one-third its original size and the tumor in the abdomen had also decreasedappreciably. He was then given a massive dose of radium over the left abdomen,and the radium pack was placed on the left supraclavicular tumor. In about threeweeks, the supraclavicular tumor had entirely disappeared and the tumor in the. Fig. 3.—Large round-celled rt-uiiij. Toxins immediately after operation, prolonged treat-Patient in good health ten years later. abdomen had steadily decreased in size. The patient returned home where thetoxins were kept up for six months, at the end of which time he returned forfurther radium treatment. Examination failed to reveal any tumor mass in theabdomen or supraclavicular region. Another radium treatment was given over theabdomen, and the toxins were further continued. He has come on for observationevery six months, during the first two years, and once during the last year. Acareful examination in the fall of 1922 failed to reveal any visible or palpableevidence of any tumor, cither in the neck or in the abdomen After remainingwell for three and one-half years, in early January, 1921, he had what was supposedto be an attack of grippe, followed by a pleuritic effusion. tThe author has seen four cases of metastases in the left supraclavicular region follo
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
