Large ovarian tumours in a seven months' child / by Alban Doran.

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

Licence: Public Domain Mark

Credit: Large ovarian tumours in a seven months' child / 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 ' Trctnsactions of tW-RathologicalSociety of London,’ 1889. Large ovarian months' child. By Alban Doran. [With Plate XVII.] These tumours were removed, after death, from a seven months child, which survived its birth but a few minutes. The mother was a multipara under the care of Mr. Charles Hooper, of Aylesbury, in March, 1888. The abdomen was distended, the sub- cutaneous veins were prominent. The integuments above the level of the umbilicus were discoloured through ecchymosis. On open- ing the peritoneal cavity much ascitic fluid escaped, and two large ovarian tumours wei’e discovered; the larger was on the left side. The liver appears to have been large even for a foetus, the kidneys and spleen were healthy. There was a hernial sac, containing nothing but fluid, in each inguinal canal. The left tumour was presented by Mr. Knowsley Thornton to the Museum of the College of Surgeons (Path. Ser., No. 4498 d). The donor kindly committed it to my charge whilst it was still fresh, and I at once directed Mr. Lewin to prepare the coloured sketch which I exhibit this evening (PI. XVII,.fig. 1). The action of spirit on the delicate embryonic tissues of the specimen has altered its original appearance and destroyed its natural colour. This tumour when fresh strongly resembled a small cystic kidney. The Fallopian tube, very thin but nearly an inch long, the intervening portion of the broad ligament, and a small portion of the uterus lay on its upper surface, and are represented in the coloured sketch. A great part of the tube was inadvertently cut away; the fimbriated extremity and the piece of uterus remain; fortunately the sketch was taken before this mutilation. The tumour measured thi’ee and a half inches horizontally by two and a half vertically. When fresh it was of a uniform bright pink colour, faintly tinged with lilac. Its surface showed numerous minute elevations, as though pi’oduced by small cysts, and was free from any adhesion or evidence of peritonitis. On laying the tumour open, it was found to consist of a thin shell of solid material enclosing a large central cavity. This cavity contained clear fluid which had been emptied out before the specimen came