Retro-pharyngeal sarcoma / by F.I. Knight.

  • Knight, Frederick I. (Frederick Irving), 1841-1909.
Date:
1878 [i.e. 1879]
Catalogue details

Licence: Public Domain Mark

Credit: Retro-pharyngeal sarcoma / by F.I. Knight. 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.

    5/20
    By F. I. KNIGHT, K. D.fe' I was consulted in the summer of 1877 by Dr. Chas. Homans, of Boston, with reference to a patient of his who presented the following history: A lady thirty-six j-ears of age had had a hacking cough much of the time for four or five years, and hawking and raising of phlegm, with sensation of strangling in the morning, for the previous yeai*. She had been subject to sore throat, always pronounced tonsil- litis, for four years. She had been subject to dyspnoea on ex- ertion for two years. In January, 1877, having taken a severe cold, the cough was much exaggerated, she became debilitated, and was ordered to go South, and while at the South she first experienced a feeling of Buflfocation at night, which was several times afterwards repeated. She had had some dysphagia, but no pain in the throat. The voice was not affected. There was no family history of tumors. On her way North the throat was examined laryngoscopically for the first time by Dr. Samuel Johnston, of Baltimore, who discov- ered the large neoplasm, to be described. As the patient was un- able to remain in Baltimore long enough to submit to treatment from Dr. Johnston, she returned to Boston, and came under my observation, as before mentioned. On examination of the pharynx in the ordinary manner, noth- ing abnormal could be seen. With the laryngeal mirror a large tumor came into view, almost completely filling the upper cavity of the larynx. It was round, pretty smooth, rather soft to the touch, covered with congested mucous membrane, in which sev- eral vessels could be distinctly traced, and attached broadly in its posterior portion, exactly where, whether to the arytenoid re- gion of the laiynx, or to the posterior wall of the lower pharynx