JAMA. 1906;XLVII(7):NP. doi:10.1001/jama.1906.25210070001001.
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SURGICAL PART BY DR. KEEN.  A recent case of this rare specimen of tumor has interested me very much and led me to present for consideration a résumé of all the reported cases and some clinical remarks based on a study of them. My own case is as follows:

Patient.  —R. M., male, aged 56, first consulted me March 30, 1905, for a large tumor on the left side of his neck. He stated that he first noticed the tumor about eighteen years ago and that it has slowly but steadily increased in size. There has been no pain, no dysphagia, no dyspnea, in fact, one may say, no symptoms save the existence of the tumor as a slowly increasing deformity.

Examination.  —Chiefly anterior to the sternocleidomastoid, but extending under it all the way to its posterior border, I found a tumor measuring horizontally 13 cm. and extending from the


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