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• W2048455426 abstract "A case of thymic tumor is reported in which the clinical diagnosis was cellulitis of the neck, with sinus thrombosis; the roentgen diagnosis was abscess or tumor of the upper mediastinum, and the pathologic diagnosis, made postmortem, was carcinoma of the thymus, with metastases to the lungs, liver, and mesenteric lymph glands. Anamnesis.—The patient, colored, male, aged 28, was admitted to the John D. Archbold Memorial Hospital on Aug. 25, 1930, and died on Aug. 28, 1930. The past history was unimportant. The present illness began five weeks previous to admission with sore throat, toothache, fever, and general malaise. Several days later swelling of the neck was noted which soon became progressively more marked. Edema of the eyelids appeared and later marked difficulty in breathing and swallowing was noted. For three or four days previous to admission nothing could be swallowed except small amounts of fluid. Physical Examination.—Temperature 101 degrees F., pulse 120, respiration 30. The patient was a well-nourished, well-developed colored male. Respiration was labored, the neck markedly swollen, the face and eyelids edematous, and there was a bilateral exophthalmos. The swelling of the neck was uniformly hard and smooth; nothing suggesting enlarged glands in this or any other area was found. No dilatation or prominence of the superficial vessels was discernible. A bloody mucus discharge exuded from the mouth and nose. There were coarse râles and exaggerated breath sounds throughout both lungs. There was a wide area of dullness over the upper mediastinum. No edema of the arms or thorax was noted. Laboratory Findings.—White blood cells, 9,150; polymorphonuclear leukocytes, 80 per cent; eosinophiles, 2 per cent; transitional cells, 4 per cent; lymphocytes, 14 per cent. Red blood cells, 3,350,000. Hemoglobin, 60 per cent. The blood sugar and non-protein nitrogen were within normal limits. The urine, which contained a few granular casts, had a specific gravity of 1.035. The Kahn test was negative. Roentgen Report.—Examination of the chest was made August 26, 1930. A single film only was made because of the semicomatose condition of the patient. There was a large dense mass, 11 cm. in width, in the upper mediastinal area, extending laterally on both sides beyond the mediastinum. The upper border extended above the sternoclavicular articulations and the lower border fused with the heart shadow. The lateral borders were well defined and regular. There was definitely a diminished aëration of the upper lobe of the right lung but no other evidence of pathology. Considering the history and course of the illness it was thought that the condition was mediastinal abscess rather than tumor. The patient died on his fourth day in the hospital." @default.
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• W2048455426 date "1932-06-01" @default.
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• W2048455426 title "A Case of Carcinoma of the Thymus" @default.
• W2048455426 doi "https://doi.org/10.1148/18.6.1148" @default.
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