Epithelioma simulating ulcerated meibomian cyst / by G. E. de Schweinitz.

  • De Schweinitz, G. E. (George Edmund), 1858-1938.
Date:
[1894]
Catalogue details

Licence: Public Domain Mark

Credit: Epithelioma simulating ulcerated meibomian cyst / by G. E. de Schweinitz. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    EPITHELIOMA SIMULATING ULCERATED MEIBO- MIAN CYST. By G. E. de SCHWEINITZ, M.D., I'HILADELPHIA, PENN. A laborer, aged about 40, was brought to the Jefferson Medical College Hospital on account of an injury. He was a Scandinavian, spoke no language except his own tongue, and consequently clinical history was not readily obtained. Atten- tion being directed to his eye, a small elevation on the upper lid was apparent, exactly like that produced by an ordinary Meibomian cyst. On everting the lid, there protruded from a rupture in the conjunctiva a mass about the size of an ordinary pea, slightly nodulated like a mulberry, and grayish-red in color. This appeared to be attached to a small pedicle, which in its turn was fastened at the bottom of the cyst. At first sight it appeared to be a mass of granulations springing from an ulcer- ated chalazion. The growth was carefully dissected out from the under surface, the cavity thoroughly curetted and cauter- ized with a solution of chloride of zinc. The wound healed rapidly and only a slight puckered scar remained to show its presence. By this time the patient had recovered from his in- juries, left the hospital, and there has been no trace of him since the date of his dismissal, during the last week of Decem- ber, 1893. Sections of this growth show that it is an ejpithelioma which evidently had its start in glandular structure. The following are the main microscopic features : Portions of the integument exhibiting proliferation of the papillary layer, hypertrophy of the sweat glands, which are surrounded by massing of the external epithelial layer. Still deeper the epithelial cells lie in masses within spaces in the connective tissue, and further within there is a typical alveolar arrangement, the alveoli containing car-