An unreported case of primary cancer of the Fallopian tubes in 1847 : with notes on primary tubal cancer / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1896
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Licence: Public Domain Mark

Credit: An unreported case of primary cancer of the Fallopian tubes in 1847 : with notes on primary tubal cancer / by Alban Doran. 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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    Renaud’s case, for reasons which I have made clear, escaped the notice of Orthmann, Sanger, and Barth. I agree with the opinion of the latter writers just quoted; I may point out, however, that I have examined Dr. Renaud's drawing, and am also among the few who have had an opportunity of examining thoroughly a case of primary cancer of the tube. Let it be observed that in Renaud's drawing, which gives every indication of artistic ability, the right tube is clearly dilated and filled with new growth, displayed by an orifice cut in the tubal wall. The ovaries are quite small, and almost hidden by the enlarged tubes, and Renaud reports them as cancerous. This relative proportion of tube and ovary is precisely what is seen in primary tubal cancer. We see a big thbe or tubes filled with new growth, and a small ovary or ovaries healthy or becoming cancerous. In the second case ever published of primary tubal cancer, where the patient was observed so closely by Dr. Amand Routh and myself, this condition was well marked.* On the other hand, in primary cancer of the ovary infecting the tube we see a large ovary with a small tube. The walls of the tube show deposit growing from without inwards, and its canal may be normal without dilatation. Sanger and Barth figure f a typical case of this kind. Thus the way to distinguish primary cancer of the tube is seldom difficult. A source of fallacy exists when a hydrosalpinx lies on a cancerous ovary. A few patches of malignant growth inside the tube in such a case must not mislead the observer • Klob was not deceived by this condition. Fabricius recently reported a typical case. The patient was forty ; a free bloody discharge had existed for several months. This symptom is observed in primary tubal cancer. There was a small cystic cancerous tumour of the ovary, and a large hydrosalpinx which contained masses of cancerous substance floating free in its lumen. * ‘Trans. Obstet. Soc.,’ vol. xxx, 1888, p. 194, ‘Trans. Path. Soc./ vol. xxxix, p. 208; vol. xl, p. 221. t Loc. cit., fig. 53, p. 275. s