On follicular disease of the scalp / by James F. Goodhart.

  • Goodhart, James Frederic, 1845-1916.
Date:
[1870]
Catalogue details

Licence: Public Domain Mark

Credit: On follicular disease of the scalp / by James F. Goodhart. 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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    nence, two and a quarter inches in diameter, and raised an inch from the surface. It is nodular, growing from a comiDaratively small base, and overlapping it, giving to the edges a somewhat everted appearance. The surface is, at parts, reddish and bleeding, at others covered with flakes, and discharging; no appreciable enlargement of the cervical glands; but there is slight nodular enlargement over the mastoid process, which the patient says was there before the tumour came. It was considered by Mr. Poland to have been primarily a sebaceous cyst, which, after disintegration, had subsequently become a fungating tumour. In this opinion his surgical col- leagues concurred. The growth was removed, on August 2nd of the present year, by the electric cautery; and as some portions were left behind, the surface was well seared afterwards. August S2nd.—It is noted that the growth has partially returned, growing out in the same way as before. 30th.—Two fresh masses had formed, one 1^ x 1 x 2 inch, the other ^ X ^ X1 inch. Chloroform was given, and portions of scalp and growth were dissected off by Mr. Davies-Colley. She left the hospital seventeen days after this; the wound not yet healed, and with some pieces of bone to all appearance necrosed ; a small sebaceous tumour had also made its appearance behind the other. The microscopical appearances in the second case are by no means dubious, as in Case 1. The tendencies of such a tumour could not be doubted, even if we had not the fact before us that the tumour was a recurrent one. It is chiefly interesting as showing how the appearances met with in distinct types of tumour blend with each other, rendering it difficult to say that this or that groAvth belongs to any definite group. The disease removed at the first operation in this case was purely a sarcoma, and very little need be said about it; the cells or nuclei were, perhaps, of rather large size— large, round-celled sarcoma, and no trace of hair or hair-follicle could be found, even at the margin of the tumour. Fig. 4 is taken from this growth. The parts removed after recurrence are of interest, as illustrating the gradations between the forms of growth. The mass had a locular arrangement, as partially shown in fig. 5, and in some places had a gland-like arrangement, very similar to that shown in fig. 1, only that the cells were now less epi- 2