Abstract
THIS patient, who was demonstrated February 27, 1924, before the Philadelphia County Medical Society, had an amputation of the left breast in November, 1908, by the late Dr. George E. Shoemaker. This was found, microscopically, to be a scirrhous carcinoma. In spite of a very thorough operation, metastasis seemed to develop within six weeks, indicated by the formation of nodules in the axilla and supraclavicular region. For this reason, X-ray treatment was given very thoroughly, at a hospital in a neighboring city. The X-ray treatment was continued for a year and a half. As a result, the evidence of recurrence disappeared and the patient remained well until July 13, 1917, or nine years after the operation. At this time she was referred to one of us (Dr. Pfahler) on account of an extensive telangiectasis and leathery skin over the entire area treated, with localized areas of degeneration. This involved most of the anterior surface of the left side of the chest, with extension toward the axilla and upon the ...
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