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Updated: May 28, 2025
Pancoast reports the case of a man whose nose, cheeks, forehead, and lips were covered with horny growths, which had apparently undergone epitheliomatous degeneration. The patient was a sea-captain of seventy-eight, and had been exposed to the winds all his life. He had suffered three attacks of erysipelas from prolonged exposure.
Lately there appeared a small sore on his nose which had spread, and become crusted. On feeling it I found it as hard as a streak of glue, with constant darting pains passing through it. Of course, there could be no question as to diagnosis. It was epitheliomatous cancer, caused by the irritation of the hot tobacco smoke.
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