ABRAHAM WIKLER, M.D.; CARL WIESEL, M.D.; ELMER S. MAXWELL, M.D.
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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
WIKLER A, WIESEL C, MAXWELL ES. SYMPATHETIC PARALYSIS DUE TO METASTASIS AS INITIAL SIGN OF GASTRIC CARCINOMA1. 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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