Malignant disease of conjunctiva / by Freeland Fergus.

  • Fergus, A. Freeland (Andrew Freeland), 1858-1932.
Date:
[1905?]
Catalogue details

Licence: In copyright

Credit: Malignant disease of conjunctiva / by Freeland Fergus. Source: Wellcome Collection.

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    Hum) are almost entirely cellular, the cells being spindle- shaped or somewhat irregular in form ; amongst them are thin-walled vessels and a delicate fibrillar substance. While in general plan of structure the growth corresponds rather with a simple papillomatous tumour, yet it is difficult to reconcile the highly cellular character with this view of the condition, and I very much fear that it will prove to be really of sarcomatous nature.” Both reports with which I was favoured agreed as to the malignancy of the growth, and indeed by this time the clinical history as well as the naked-eye appearances could leave no reasonable doubt as to the correctness of that opinion. Dr. McMillan, therefore, on March 21st, dissected out the entire contents of the orbit. A thoroughly clean sweep was made of the whole thing, and the patient returned to Carlisle on April 14th. She came back to the infirmary on May 23rd, and it was then found that the orbital cavity was filled with tumour mass and that the preauricular gland had become involved. It was also observed that at times the patient was drowsy, and as I had reason to believe that there was an extension of the growth into the cranial cavity, I determined to let matters alone. The patient therefore returned to Carlisle and was under Dr. Hill’s care until her death, in October. Dr. Sedgwick, of Carlisle, made an autopsy and sent certain portions of tissue to me. These were examined by Dr. Inglis Pollock. [Lantern slides made from his preparations were exhibited.] I think the only diagnosis possible is that of leuco- sarcoma, and the starting-point of the malady would seem to have been the ocular conjunctiva. The following is Dr. Sedgwick’s report: Notes on Autopsy, October 14th, 1904. Body of girl, set. 12 years. Bigor mortis present in legs only. No post-mortem discoloration. Attached to the right side of the head is an enormous tumour, larger