Case 17422

Cass, John W.; Blake, Gerald; Bradley, John I.; Mallory, Tracy B.

doi:10.1056/nejm193110152051607

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1956

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“…A mass may be palpable and may be accompanied by pain, usually thoracic but sometimes abdominal ; on the other hand the tumour may be asymptomatic and come to light on routine radiographic examination, like the leiomyofibroma reported by Freedlander and others (1950). Radiography can lead only to a provisional diagnosis ; its inconclusive nature is illustrated by a case discussed by Cass and Mallory (1936). The pre-operative diagnosis was ' tumor of the diaphragm ', but at operation and biopsy the lesion was found to be a primary carcinoma of the liver arising in a cirrhotic liver ; Mallory mentioned two other cases of primary carcinoma of the liver that had similarly elevated the diaphragm.…”

Section: Discussionmentioning

confidence: 99%