Visceral sarcomata : cases of sarcoma of the stomach, heart, mediastinum, etc. / by W. Gilman Thompson.

  • Thompson, W. Gilman (William Gilman), 1856-1927.
Date:
1910
Catalogue details

Licence: In copyright

Credit: Visceral sarcomata : cases of sarcoma of the stomach, heart, mediastinum, etc. / by W. Gilman Thompson. 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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    —The following case of lymphosarcoma of the stomach was operated upon by the late Andrew J. McCosh at the Presbyterian Hospital, and has not previously been reported: The patient was a housewife, 39 years of age, who for a year had complained of gastric symptoms, mainly pain and vomiting, accompanied by loss of weight. Melena was present, and free hydrochloric acid was absent from the stomach contents. A mass of considerable size could be palpated in the epi- gastrium. A gastrectomy was performed, when the mass, which was the size of an egg, was found to occupy the pyloric end of the stomach, extending into the greater curvature. No secondary nodules were discoverable. The tumor mass removed from the stomach measured 6x4 cm. It was hard and glistening, and composed of small round cells, larger than lympho- cytes, imbedded in a small amount of stroma. The mass destroyed the submucous coat, and remains of the muscular coat were distributed through it. There was much lymphoid tissue also in the muscu- lar coat, and the neighboring mucous membrane pre- sented many ecchymoses. Virchow21 in his classical work, “Die krankhaften Geschwiilste,” stated the general proposition that “almost all those organs which show a great pre- dilection for malignant tumor formation have little tendency to beget metastases, and conversely,” yet the visceral sarcomata present so much variation in metastasis that it would seem unwise, with our present knowledge, to apply any such general rule to them. Most of the 43 sarcomata received into the Second Division service of Bellevue Hospital dur- ing the past five years were sent in for operation,