Sequel to the case of primary cancer of the Fallopian tube reported in the thirty-ninth volume of the Society's Transactions / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Sequel to the case of primary cancer of the Fallopian tube reported in the thirty-ninth volume of the Society's Transactions / by Alban Doran. 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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    Reprinted from the * Transactions of tke Pathological Society of London! 1889 ' ' ■ Sequel to the case of primary reported in the Thirty- ‘ Transactions.’ By Alban [With Plate XIII.] rpHEOtrGH the courtesy and vigilance of Dr. Aman X enabled to exhibit this evening the pelvic viscera from the case of primary cancer of the Fallopian tube described in the Society’s ‘ Transactions,’ vol. xxxix, p. 208. After suffering from a watery, ultimately sanious, discharge for three years, a tumour developing in the right side of the pelvis, the patient came under the care of Mr. Thornton, who, on March 1st, 1888, removed the tumour, which proved to be a cancerous Fallopian tube. The right ovary was infected, part of it was left behind. The left appendages were removed, being spoilt by old inflammatory changes. I could not find any morbid growth in either the left tube or the ovary. The stump of the left appen- dages, at the end of the operation, was certainly free from disease, aj important fact in relation to the sequel. The uterus, in Mr. Thornton’s own words, “was not so large as I thought at first, and seemed fairly firm and healthy, so that I rather doubted if there was any of the growth in it.” Thus, excepting a small portion of the right ovary, no suspected tissue was left behind; but the ovary was found to be cancerous, through infection, I believe, from the tube where the disease formed a much larger growth. The general and microscopical appearances are represented in plates xiii and xiv accompanying the original paper. In that paper I reported, “ In August, 1888, she was in good health.” That note was made early in August. Dr. A. Routh further noted, since the publication of the paper, that on August 10th the patient had an attack of acute obstruction of the bowels whilst at the seaside. On September 10th a large mass was dis- covered in the hypogasti'ic region surrounding the uterus, but lying more to the left than to the right. The patient bad suffered from chilliness, leucorrlioea, and pain in the back, hypogastrium, and legs for a week. The tumour was mobile. On October 23rd D A