Protozoa and carcinoma : read in the section of pathology at the Annual Meeting of the British Medical Association, held in Nottingham, July 1892 / by Sheridan Delépine.

  • Delépine, Sheridan, 1855-1921.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Protozoa and carcinoma : read in the section of pathology at the Annual Meeting of the British Medical Association, held in Nottingham, July 1892 / by Sheridan Delépine. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    I ducts, containing more or less altered hi?« Q^ 6 in ^ In ordinary carcmomata the surroundings are very differ- under the care of Dr. Dickinson at St. George's Holnital Dr Dickinson kindly provided me with the ^linictl nX« Th^ me t0 make USe of the case for this mStigat?5n cMld?ei irL^fri6d ™maVged 49, who had had n mnSSfs?w £ad fW^s en]°yed good health till a few months before her death; eight weeks only before the fatal event jaundice became manifest. At the plst-mort^Jfxami- Fig. 3.—An anteroposterior, vertical section of the same liver photographed from Nature to show the distribution of the can- cerous nodules in the liver parenchyma. nation the liver was found full of nodules, large and small, rather soft, and evidently cancerous (Fig. 3). The common bile duct, the hepatic ducts, and all their branches were found much thickened by a papillomatous-looking epitheliomatous growth. The gall bladder was in the same state, and con- tained in addition a large number of gall stones ; it must be remembered that the patient did not show any evidence of jaundice until eight weeks only before her death, so that the gall stones must have been rather the result than the cause of the state of the gall bladder. On dissecting the organ care- fully it was found that all the cancerous nodules were situated either at the end or on the course of bile ducts. No other organ than the liver was affected; there was only a slight ex- tension of the growth along the portal lymphatics to the retroperitoneal glands in the neighbourhood of the foramen of Winslow. The pancreatic duct was not affected at all. I naturally examined carefully the walls and contents of the