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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    was performed on July l^tb, 1888. When last heard of, over five /rf- months after operation, the patient was in good health. Both tubes were filled with medullary papillomatous growths which sprang from the mucous membrane and encroached on the muscular coat, precisely as in my own case. On the right side cancerous material projected under the peritoneal investment of the tube. The ovaries and uteras showed no signs of cancer. The case appears to repre- sent simultaneous cancerous degeneration of papillomatous tubes. I understand that a more complete; acqount will shortly be pub- lished by Dr. Kaltenbach. £ y.4 ■ k3 £/h\ v :>)/. X/ The following table of The five cases of primary malignant disease of the Fallopian tube may prove useful for comparison and reference. As may be gleaned from the fuller accounts of the same cases already given in the present and the original papers, the sexual history is, in more than one instance, incomplete,1 so that I have not introduced into these tables any columns with the head- ing “ married or single,” “ number of children,” &c. The evidence which can be gleaned from this table tends to con- firm certain opinions which I expressed at the end of the original paper on Mr. Thornton’s case. Papilloma of the Fallopian tube appears to have an inflammatory origin. It may proceed till large masses of papillomata develop, these growths being perfectly innocent, although they may even provoke ascites and hydro thorax. On the other hand, the papillomatous vegetations may undergo malignant degeneration. In short, cancer of the tube appears to 1 spring from papilloma of the tube. Carcinoma of the Fallopian tube occurs near the menopause, and is accompanied by vaginal discharge, generally sanious. Its course is apparently slower than that of cancer in most other organs ; certainly far less rapid than in ovarian cancer. Evidence as to the origin and precise nature of sarcoma of the Fallopian tube is as yet very scanty. Only two cases have been recorded, and no drawings of either appear to have been published. May 7th, 1889. 1 In his paper, “ Ueber Carcinoma Tub®,” loc. jam cit., Dr. Orthmann notes that Martin’s patient, aged 46, was a widow. She had been married three years, and there was a doubtful history of abortion a year and a half before operation. When she became a widow is not stated. She menstruated about a month bofore operation. After the “lumps” were noticed in the abdomen during her con- valescence from typhoid fever a moderate leucorrlioeal discharge set in. The principal features of this case were recorded in my paper ou cancer, published in the ‘ Transactions ’ of last year.