Editor Journal American Medical Association:
Sir:
—In my paper on " Primary Malignant Disease of the Kidneys" published in your esteemed Journal, I said, under the head of " Prognosis": " The inferior vena cava being filled with clots in such a great proportion of cases, I am surprised not to find any deaths from embolic processes." After the publication of the paper, Prof. W. Osler, of the University of Pennsylvania, wrote me that one of his cases referred to by me (p. 620, 2d column, line 11 from top) died from embolism of the tricuspid orifice, a sarcomatous thrombus having become dislodged from the renal vein.In the table I also forgot to state that case 16 was one of sarcoma. By inserting these additions in the next issue of the Journal, you will confer a great favor on Yours truly,Dubuque, June 25, 1885.