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HODGKIN'S DISEASE OF THE NECK AND MEDIASTINUM:  BILATERAL CERVICAL OPERATIONS; MEDIASTINOTOMY

WILLIAM LERCHE, M.D.
Arch Surg. 1929;18(1_PART_II):329-338. doi:10.1001/archsurg.1929.04420020151011.
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On Oct. 18, 1910, I examined a woman, aged 24, who complained of a lump which she had discovered two days previously above her left collar bone. She had measles, scarlatina and diphtheria in childhood and had been somewhat anemic between the ages of 16 and 18, but otherwise had been in good health. Her family history was without importance.

The results of the general examination were negative, and glandular enlargement was found only in the left supraclavicular nodes. My diagnosis was enlarged lymph nodes, probably tuberculous.

On October 20, I removed a mass of enlarged nodes from the supraclavicular space, through an incision above the clavicle. The pathologic report was: lymphoma, probably Hodgkin's disease (fig. 1). The patient was instructed to report for observation, but she did not appear until six months later, when the condition recurred in the same region. On April 17, 1911, an incision 15 cm.

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