Sarcoma of the tongue / by J.H. Targett.

  • Targett, James Henry, 1862-1913.
Date:
[1890]
Catalogue details

Licence: Public Domain Mark

Credit: Sarcoma of the tongue / by J.H. Targett. 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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    Case. Age, Length of history. Situation, &c. Results. I 65 1 year In substance of left half towards root; one gland enlarged Recurrence within one year. II 2 4 months Middle third towards dorsum; glands normal Rapid local recurrence. Death. VII 60 i year In substance towards root; glands normal No recurrence at end of 12 years. VIII 56 1 year Whole breadth of root of tongue Death a week after operation. IX 32 8 years In substance No recurrence at end of 15 months. X 22 12 years Deeply embedded,involving whole organ; glands normal Death from local recur- rence 2^ years after operation. XI 40 7 weeks In substance, left half; glands normal No recurrence at end of 3 years. The cases are too few to enable any useful conclusions to be drawn from the age and sex of the patients; the duration of the disease also varies within wide limits. But with regard to the latter point it is worth while to note that Case 9, which existed eight years, was a fasciculated sarcoma, and therefore probably of much slower growth than the remaining cases; and in Case 10, of still longer duration, Mr. Hutchinson was of opinion that the disease had begun in a congenital mole or naevus, and only developed “ morbid tendencies ” at a much later date. The similarity in histological structure of the tumours is not a little remarkable, for with one, or perhaps two, exceptions they were of the round-celled or lympho-sarcomatous type. Of the two exceptions, one was a fasciculated or spindle-celled sarcoma, and the other (Case 2) was of the mixed-cell variety. This point is of importance in the question of diagnosis, and will be referred to subse- quently. In a recent publication^ on malignant diseases of the tongue and lips, Esmarch states that in his experience “ the majority of tumours which are commonly recognised as sarcoma and extirpated belong to the syphilomata, and can • Abstracted in ‘ Centralblatt fiir Chirurgie,’ 1889, No. 29.