Primary cancer of the Fallopian tube / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Primary cancer of the Fallopian tube / 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 ' Transactions of the Pathological Society of London,' 1888. Mbs. B—, aged.48j was admitted into the Samaritan Free Hospital, under the care of Mr. J. Knowsley Thornton, in February, 1888. Mr. Malcolm prepared the following notes of the case :—“ Married twenty-three ye^s (family history unimportant), one child born twenty-two-years ago,' no confinement since. Admitted with a tender, hard, mobile tumour in the right groin, two inches in diameter, reaching to .leyel of anterior superior iliac spine. Pelvic examination.—Cervix small, feels healthy, lies far back, points backwards. Tumour of groin is very closely con- nected with right cornu of uterus. The period had previously been always regular, little pain, much show. Twelve months ago it began to diminish. Last period August, 1887.” For three years the patient had been subject to a watery, inoffensive, and occasionally sanious vaginal discharge, which often contained small pieces of membranous material. For this the patient consulted Dr. Amand Eouth in October, 1886. In January, 1887, he dilated the cervix, introduced a curette, and scraped away about two drachms of a red fungous growth from the fundus. At that time no pelvic tumour could be detected. A fortnight later an attack of pelvic inflammation occurred, with swelling of the left leg and left labium majus. This complication may, as Mr. Thornton suggested, have been caused by irritation of the malig- nant growth, already developing though too small for detection. Every surgeon knows that malignant tumours are very intolerant Primary cancer of the Fallopian tube. By Alban Doran. [With Plates XIII arid XIV.] 1/