Excerpt from The Clinics of John B. Murphy, M.D, Vol. 5: At Mercy Hospital, Chicago; 1916
The patient, a little girl two and one-half years of age, was brought to the office on November 10, 1915. She is the only child of healthy parents, whose past history is negative.
When the patient was two weeks old a tumor the size of an adult thumb was noticed beneath the right axilla. This tumor increased in size for one and one-half years until one year ago, when it reached the present size of four inches in diameter.
When the patient was three months old a second tumor appeared on the right side of the neck, just above the clavicle, and increased in size rapidly for a while, but not during the past year. It seems to become larger when the patient cries or coughs. A piece of the tumor was removed and subjected to microscopic examination, and is said to have been fatty tissue, but the real report is not definitely known. The patient has no fever, no cough, nor has she bowel or bladder disturbance. She weighs 23 pounds - a weight which has remained stationary for some time.
Examination by Dr. Murphy. - Above the right clavicle there is a large, soft tumor which is not adherent to the skin (Fig. I). In the right axilla there is a similar tumor, and there are also several nodules about the size of a hazelnut just beneath the skin. There is no palpable or audible thrill over either tumor. Superficial veins over both tumors are dilated.
Examination of the tumor of the neck with an electric lamp shows no transmission of light.
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