A sarcoma of the naso-pharynx / by William K. Simpson.

  • Simpson, William K.
Date:
[1903]
Catalogue details

Licence: In copyright

Credit: A sarcoma of the naso-pharynx / by William K. Simpson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    A Sarcoma of the Naso-Pharynx. BY WILLIAM K. SIMPSON, M. D. Chief of Clinic and Instructor in Laryngology Medical Department of Columbia University; Surgeon New York Eye and Ear Infirmary, Throat Department; Consulting Laryngologist New York Foundling and St. John's Hospitals; Fellow of the Academy of Medicine; Member of the County Medical Society; Lenox Medical and Surgical Society; Hospital Graduates’ Club; Society of Alumni Presbyterian Hospital; Physicians’ Mutual Aid Association, New York City. A male patient, aged twenty-seven, con- sulted me, April 27, 1902, for a slight coryza, accompanied by an attack of acute catarrhal otitis media, principally of the right ear. Patient had some slight im- pairment of hearing for a number of years, but which gave him little trouble other than when he suffered from attacks similar to the present one. There was considerable feeling of fulness in the ears, and also a feeling of nasal and post-nasal occlusion. The impairment of hearing and other aural symptoms, ’'ncluding a slight watery discharge, were confined almost entirely to the right ear. In examining the naso-pharynx for pos- sible cause of the present attack, I found the space to be almost completely filled with a mass giving the appearance of an ordinary adenoid growth, as seen in the adult, but was quite surprised to find it so extensive in a person of his age. When questioned as to his knowledge of their existence, he said that he had never been informed of them before, de- spite the fact that he had been under treatment for previous similar attacks. This can be somewhat accounted for, I think, from the fact that it was very difficult to make a posterior rhinoscopic examination, and it was only after con- siderable practice that I was able to make a satisfactory one. One characteristic of the growth which I noticed at this examination was its tendency to bleed easily under manipula- tion. I suggested the advisability to re- moval of the growth, but as the attack of otitis cleared up in two or three days with ordinary means of treatment, and as the adenoids gave him apparently no fur- ther trouble, it was not done, and I did not see the patient again until Novem- ber 25th of the same year, a period of seven months. At this time he consulted me relative to attacks of nasal hemorrhage, which had persisted for some little time, and had become almost constant, sometimes very excessive. Although there were some hemorrhages which seemed to flow mostly from the naso-pharynx, the major- ity of them came through the anterior mares.