Report of the surgical staff of the Middlesex Hospital, to the weekly board and governors, upon the treatment of cancerous diseases in the hospital, on the plan introduced by Dr. Fell.

  • Middlesex Hospital.
Date:
1857
Catalogue details

Licence: Public Domain Mark

Credit: Report of the surgical staff of the Middlesex Hospital, to the weekly board and governors, upon the treatment of cancerous diseases in the hospital, on the plan introduced by Dr. Fell. 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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    greatly in size, that the patient could cover it with her lips. At the end of the month, hy the gradual removal of the morbid sub- stance, a hollow had been formed between the expanded plates of the alveoli, capable of holding half a chestnut within it: this cavity was treated by slightly scarifying its interior, and after- wards pressing a small portion of cotton wool smeared with paste against the surface, and confining it in its place by dry cotton wool. June 15th.—The day before yesterday, some of the paste was introduced into the cavity for the last time. To-day, no vestige of the morbid growth is visible. The expanded and divorced alveolar plates, between which the base of the tumour was for- merly held, have suffered no injury from the use of the caustic; as seems evident from the gum on each side being quite healthy, and the membrane lining the interior presenting also a healthy surface. 18th.—The swelling of the face, which caused so much dis- figurement at first, has greatly diminished; and judging from the rapid improvement in that respect within a few weeks past, it is probable that the inequality in the two sides may soon be little apparent. 23rd.—During the early part of the treatment, considerable pain was felt: towards the close, it seemed to be very moderate. Her health throughout has remained good. She leaves the hospital to-morrow. EXTIRPATION OF A CANCEROUS TUMOUR WHICH GREW FROM THE SITE OF THE LACHRYMAL SAC, AND OBSCURED THE EYEBALL. Case 45.—Jane K., set. 49, a charwoman, formerly healthy, was admitted 20th of February, for a scirrhous tumour, which occupied the hollow between the left eyebrow and the side of the nose, and concealed the eyeball. The tumour was oval. In a vertical direc- tion, it extended from the upper and inner angle of the orbit, on a level with the uppermost part of the eyeball, along the side of the nose, to the ala nasi, measuring two inches in that direc- tion ; transversely, it reached from the side of the root of the nose, with which it was in contact, across the front of the eye, to the malar bone, measuring an inch and a half. The only part of the eyelids visible was the external commissure; by depressing