Primary carcinoma of the veriform appendix : a critical study of 90 cases, with references to 123 cases / by Clarence A. McWilliams.

  • McWilliams, Clarence A.
Date:
[1908?]
Catalogue details

Licence: In copyright

Credit: Primary carcinoma of the veriform appendix : a critical study of 90 cases, with references to 123 cases / by Clarence A. McWilliams. Source: Wellcome Collection.

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    It would be interesting to inquire, then, in this connection, how many of these appendices, removed from patients with chronic symptoms associated with cancer, showed the microscop¬ ical lesions of chronic inflammation? There were 23 patients in my series with chronic symptoms, and associated chronic lesions were found by the microscope in the following cases: Baldauf (V), Eccles (VII), Brandts (X), Driessen (XII), Zaaijer (XIV), Zaaijer (XV), Zaaijer (XVII), Zaaijer (XXV), Deaver (XXXIX), Hart¬ mann (XXXII), Neri (XXXVII), Barrow (XXVIII), Weinberg (III), Mandlebaum (XLIV), Hessberg (XXI), Zaaijer (XXIII), McCosh (XXVII). Thus, out of 23 cancerous appendices removed for chronic symptoms, in 16 (70 per cent.) it is definitely stated that chronic inflammatory lesions were present in addition to the cancers. In the remaining 7 of the 23 cases, the descriptions of the microscopic findings were either too meagre or too indefinite to judge as to this point. Are we able to find with the microscope chronic lesions in the cancerous appendices removed from patients in the first acute attack? In my own series of 13 acute cases, I found with regard to this question the following to be the facts: Case U u cc u u u IV. Baldauf. Chronic lesions were stated to be present. VI. Baldauf. XXII. McWilliams. XXIV. Zaaijer. XXIX. Pauchet. Not mentioned in record. XXXI. Hartmann. XXXIV. Grunbaum. XLVII. Korte. XLVIII. Korte. XLIX. Libman. Chronic lesions present. XLV. Mandlebaum. “ XXX. Nelaton. XXVI. Wiener. Of these 13 cases, in which cancers were found in appendices removed in the first acute attack, there are 8 (61 per cent.) in