Two cases of epibulbar carcinoma, from the surgical clinic in Bonn / by C. Heyder ; translated by J.H. Shorter.

  • Heyder, C.
Date:
1888?]
Catalogue details

Licence: Public Domain Mark

Credit: Two cases of epibulbar carcinoma, from the surgical clinic in Bonn / by C. Heyder ; translated by J.H. Shorter. Source: Wellcome Collection.

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    iodoform gauze, over which was applied a bandage. Later some in¬ different applications were brought into use. By this treatment the course of healing was undisturbed ; neither fever nor any local inflammatory reaction was observed. As early as the nth of February, the patient was allowed to go home, with the wound well granulating, into which on all sides the skin was being drawn. On her departure the granulating surface was only 2 cm long by \ cm wide. On May 29th the patient presented herself at the clinic again. The healing had made very good progress. There remained a granulating spot twice the size of a hemp seed, corresponding to the centre of the original wound. No relapse. On December 5th the piatient was again in the clinic ; the healing had been perfect for a long while. The orbital cavity seemed diminished, and the eyebrow was somewhat pulled down, so that it was partly below the supraorbital margin. There was still no trace of any recurrence or of any enlargement of the lymph glands to be observed. REPORT ON THE MACROSCOPICAL CONDITION OF THE TUMOR. The extirpated growth, viewed externally, appears like an irregular nodular projection of about the size of hen’s egg, separated by shallow depressions into several por¬ tions. The surface is rough ; everywhere papillae, some small, fine, others thicker, are discernible. Along the whole under surface, hidden from view, lay the lower lid completely everted. The upper eyelid is less well pre¬ served, the conjunctiva especially being drawn over into the surface of the tumor, so that the free margin of the lid rests directly on the latter. The globe, in sagittal section, seemed to be quite well preserved both as to shape and size. The tumor covered it as if it had been poured over the eye, in front covering the cornea completely and extending backward upon the sclera beyond the equator (see fig. 2). The measurements are as follows : The greatest thickness downwards is 16 mm, and forwards 12 mm; above, the thickness varied between 11 and 17 mm. See fig. 2, which represents a diagrammatic sec¬ tion of the tumor, in order to show its relative shape and size.)