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num and floating ribs were in consequence thrown forward.-An incision was made from the upper part of the sternum to the pubis. On passing over the tumor, the integuments suddenly gave way, and the tumor was in part brought to view. A cross incision was then made, and the tumor presented more fully. On opening into the chest, the lungs were found in a healthy state-no adhesions or tubercles were noticed. The heart natural, although rather smaller than common.-The lungs and heart, in consequencedoi:10.1056/nejm184105190241502 fatcat:o53c4zfgqreohl4ei3vixhgxwy