Central myxo-sarcoma of the right superior maxilla : removal of entire maxilla and portion of malar bone / by John L. Neilson.

  • Neilson, John L.
Date:
[1880?]
Catalogue details

Licence: Public Domain Mark

Credit: Central myxo-sarcoma of the right superior maxilla : removal of entire maxilla and portion of malar bone / by John L. Neilson. Source: Wellcome Collection.

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    ► “ The tumour is supplied with but few bloodvessels, mainly large capil¬ laries, and also a few veins ; in the latter the adventitial coat is exclusively built up by protoplasmic bodies more closely arranged than in the sur¬ rounding tissue. “The diagnosis, according to Virchow’s terminology, is myxo-sar- comct, with transitions into net-celled sarcoma, and spindle-celled sarcoma.” Fig. 2. Section magnified 500 diameters, a, a. Protoplasmic reticulum. 5, b. Light myxomatous basis substance, c, o. Isolated protoplasmic bodies in the basis substance, d, d. Bundles of fibrous connective tissue, e. Broad protoplasmic string arisen from a former connective-tissue bundle. Remarks—This case is thought worthy of record as a contribution to the statistics of a grave operation. It is also of interest to the histologist as a somewhat rare pathological condition. Attention may be profitably directed to some points in the detail. It will be noticed that the cavity, left by the removal of the tumour, was not stuffed as is almost universally directed. I can see no advantage in this procedure which cannot be obtained by carefully adjusted hare-lip pins and adhesive strips, and it has the decided disadvantage of adding a direct irritant. This case adds one more to the rapidly accumulating facts relative to the usefulness of hot water in surgery—and by hot waiter is not meant a temperature of 70°-90°, but so hot the hand can scarcely be borne in it; the application thus made is simply magical in stopping oozing, and any one who has seen the beautiful cleanliness of a large flap, and has noted the delicate pink lymph covering the same, subsequent to a hot cleansing, would never desire to return to cold water. The extreme rapidity of the growth of the tumour is remarkable ; that it was unaccompanied by any severe pain, or by infiltration of the neigh¬ bouring lymphatics, or by deep cachexia, and that there exists no evidence of heredity, are other interesting clinical facts which mark it off clearly