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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    from the right orbit and the preauricular region. Viewed anteriorly, it has two “ lobes,” the upper of which is about five inches above the orbit, presenting an ulcerated surface. The lower lobe extends outwards two inches beyond the point of the right shoulder, and its extremity is also ulcerated. The bod}^ of the tumour is smooth, soft, rounded, and pale, and presents no veins on its surface. Viewed laterally, the tumour has apparently three lobes, there being a posterior lobe, very smooth, soft, and semi- translucent. This tumour tore open during manipulation and revealed a jelly-like interior. There were no glands to be felt anywhere in the body. Chest.—No glands felt in the mediastina. Pleura.—N ormal. Lungs.—Both lungs showed marked basal oedema. No traces of secondary deposit. Heart and 'pericardium.—Normal. Abdomen.—No fluid in the peritoneal cavity. No glands felt. Liver.—Normal. No trace of secondary deposit. Spleen.—Normal. Kidneys.—Normal. PeIvic organs.—Normal. After removal of the skull-cap the tumour was found to have involved the whole of the right anterior fossa, the bone of which was practically absorbed, there being a little thin egg-shell bone to the outer and posterior quadrant of the fossa. There were two large outgrowths of tumour, one of which lay above and posterior to the right supra-orbital fissure, and the second towards the middle line, apparently finding its way through the cribriform plate and pushing the falx cerebri nearly an inch to the left of the middle line. In the middle fossa on the right side was a continuation of the same growth, extending an inch outward and to the right; the whole of the lesser right wing of the sphenoid together with the sella turcica were in process of absorp-