Quiet polypoid sarcoma of the nose / by Frank Cole Madden.

  • Madden, Frank Cole, 1873-1929.
Date:
1910
Catalogue details

Licence: In copyright

Credit: Quiet polypoid sarcoma of the nose / by Frank Cole Madden. 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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    staining and preparation, he could not discover anything of the kind. Photographs 8, 9. and 10 show an extreme degree of the disease. The enormous expansion of the nose and the immense hypertrophy of the skin are well seen. In places the skin is ulcerated through and the nasal septum is par- tially destroyed, with much of the tissue with which the anterior nares was filled. There is also much infiltration of the upper lip, but again the red margin is spared. There is the same ulcerated separation between the upper lip and the upper jaw, but the palate is not perforated. It seems almost as if the disease in this instance had spent itself in external expansion rather than in internal extension, though the nasal bones are here pushed forwards by the mass within the nose. The side view is very suggestive and well merits the term, “ hippopotamus man,” I have suggested for this case. This patient, like all the others, had had no treatment worthy of the name, and had almost forgotten how long the disease had lasted. Naturally no operation was possible here, and as in all the cases, except, possibly, in the first case I have recorded, it was not thought possible to attempt the ablation of the growth, the mere removal of the masses in the nares not being considered in any way an adequate treatment of the condition. Photographs n, 12, and 13 represent another phase of the disease, in which a fungating ulceration has become the principal feature. The first case is that of a Soudanese man who was admitted to hospital on April 11, 1901. He stated that the disease began as a small nodule inside the right nostril, which gradually increased in size. As will be seen, the disease had broken down and had affected the whole of the anterior part of the nose as an ulcerated protruberant mass, with thickened infiltrated skin at the margins. The front part of the septum is involved and there is an ulcerated surface, covered with granulations of an unhealthy character, in the mouth between the upper lip and the gums over the central incisors. The unaffected portion of the nose is hard, and the skin is in exactly the same condition as the case shown as Photograph 1, with the same widening, flattening, and pig- skin appearance. A small piece of the growth from the gums