JAMA. 1944;125(4):277. doi:10.1001/jama.1944.02850220039016.
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Under workmen's compensation acts cases involving cancer fall in two groups, one in which the injury is claimed to have caused the cancer and one in which it is claimed that the injury aggravated cancer existing before the injury.1

In respect to the first group, the law appears to be that where "a normal healthy individual receives an injury by accident in the course of and arising out of his employment and thereafter his health steadily declines and a cancerous condition in the vicinity thereafter causes the (disability or) death of the employee, the causal connection between the injury and the cancer is established and the (disability or) death is compensable under the workmen's compensation act, on the theory that the cancer was caused by such injury."2 To prove that the cancer is an "accidental injury" the following four elements must be present: serious injury or strain, physical


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