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October 1950, Vol 61, No. 4 >
ARTICLE | October 1950

PRIMARY CARCINOMA OF THE LIVER

KENNETH E. LEMMER, M.D.
AMA Arch Surg. 1950;61(4):599-609. doi:10.1001/archsurg.1950.01250020605002.
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THIS SURVEY covers a series of 18 cases of primary carcinoma of the liver observed at the State of Wisconsin General Hospital between 1928 and 1950. Fifteen of the cases came to autopsy, and 3 were diagnosed by means of surgical exploration. The 15 cases were among a series of 5,228 necropsies, giving an incidence of 0.28 per cent. Of the 18 patients, 17 are now dead and only 1 is living, eight months after the onset of her symptoms and five months after the resection of a solitary hepatoma. In the 17 fatal cases, the average duration of symptoms from their onset to the death of the patient was seven months; the shortest time was one and a half months and the longest time forty-six months. In 1 case death was obviously due to cirrhosis of the liver and only a small hepatoma was found. The average age was 61 years, with the youngest

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