ABRAHAM WIKLER, M.D.; CARL WIESEL, M.D.; ELMER S. MAXWELL, M.D.
The following case is of interest because the initial and, for almost two years, the only symptoms were those referable to a lesion involving the prevertebral thoracic sympathetic chain and adjacent intercostal nerves. Evidence of the metastatic nature of the lesion could not be found until a few months before death and autopsy alone showed that the stomach was the site of the primary tumor.
The patient, a 53 year old white male, was admitted to the U. S. Public Health Service Hospital, Lexington, Kentucky, on April 22, 1942, for treatment for drug addiction. The past medical history
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WIKLER A, WIESEL C, MAXWELL ES. SYMPATHETIC PARALYSIS DUE TO METASTASIS AS INITIAL SIGN OF GASTRIC CARCINOMA(SYMPATHETIC PARALYSIS DUE TO METASTASIS AS INITIAL SIGN OF GASTRIC CARCINOMA*). Ann Intern Med. 1948;28:648–651. doi: 10.7326/0003-4819-28-3-648
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Published: Ann Intern Med. 1948;28(3):648-651.
Gastric Cancer, Gastroenterology/Hepatology, Gastrointestinal Cancer, Hematology/Oncology, Neurology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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