Primary malignant disease of the vermiform appendix.

  • Rolleston, Humphry Davy, 1862-1944.
Date:
1906
Catalogue details

Licence: In copyright

Credit: Primary malignant disease of the vermiform appendix. 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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    (14) Ibid.—-Woman, aged 24. Attack of diffuse abdo- minal pain, with vomiting, one year ago; since then three other attacks ; last attack three weeks before, when pain became localized to right iliac fossa. Appendix easily felt and found free from adhesions; 9 cm. long, 5 cm. thick; ordinary changes of appendicitis, and also endothelioma near base. (15) Ibid.—Male, aged 19. Eight days before operation all signs of ordinary acute appendicitis, with definite swell- ing. Small localized abscess found. Appendix 5 cm. long and 1 cm. thick. Chronic changes and small carcinoma near base. (16) Ibid.—Male, aged 63. Recently many attacks of acute pain and vomiting; signs of appendicitis. Appendix very adherent; numerous small “ tubercles” on peritoneum and intestine. Glands enlarged. Death. Appendix 2 cm. long, 1*2 cm. thick. Firm and nodular, infiltrated through- out by growth of cylindrical and polyhedral cells ; lumen obliterated in distal third. (17) Hurdon (‘Johns Hopkins Hosp. Bull./ vol. xi, p. 175).—Woman, aged 24. Symptoms of uterine trouble from birth of child eight years before. Pain and vomiting for eight months, ascribed to movable kidney. Operation on uterine condition; retroflexion found; also appendix adherent and kinked, distended at tip by concretion ; also an oval tumour 10 by 5 mm., proving to be adeno-carcinoma, involving all the coats. 1901: (18) Whtpham, T. R. (‘Lancet/ 1901, vol. i, p. 320).—Woman, aged 45. History of loss of flesh for six weeks and a swelling for fourteen days; thought to be malignant and inoperable. Post mortem, splieroidal-celled carcinoma at base of appendix, with secondary growths in liver, glands, and ovary. (19) McBurney (‘Med. Record/ N.Y., vol. lx, p. 478).— Female, aged 23. Clear attack of appendicitis two years before, leaving some pain in right iliac fossa. Symptoms more severe for two months. Appendix 4 in. long, not adherent. Two strictures, and near the tip a small, white,