A Case for Diagnosis. Presented by DR. PAUL D. FOSTER.
R. F., a white man aged 66, bumped his head against a door seventeen years ago and incurred a swelling, which, however, subsided. Since that time a soft mass has been present, which has shown decided growth during the past three years. At the present time there is an egg-sized soft swelling on the left side of the head. No pain is complained of, but the lesion is erythematous at times. The results of a serologic test were negative.
DISCUSSION
DR. CHARLES R. CASKEY: I believe a diagnosis of gumma should be considered.
DR. J. R. SCHOLTZ: The firm border which is felt in this lesion is similar to that felt in subperiosteal hematomas. I suggest considering the possibility of a tumor arising from the periosteum.
DR. PAUL D. FOSTER: The lesion was a soft elevated tumorous mass obviously under
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