Remarks on cystic lymphangioma in childhood : its differential diagnosis and treatment / by D'Arcy Power.

  • Power, D'Arcy, 1855-1941.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Remarks on cystic lymphangioma in childhood : its differential diagnosis and treatment / by D'Arcy Power. 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 patient was put undei' the influenee of chloroform on August 2oth, and incisions Avero made over the tumour so as to remove an elliptical piece of skin measuring about 2 inches in its widest diameter. The long axis of the ellipse was ver- tical and extended from toj) to bottom of the large tumour. As soon as the skin Avas divided the tumour was seen to con- sist of numerous cysts varying in size from a pea to a pigeon’s egg, each containing a clear serous fluid unmixed Avith blood. The cysts were separated by septa of fibrous tissue, but there was no definite capsule. It was continuous Avith Fig. I.—Photogi’aph of a child, aged 14 days, Avith a cystic lymph- angioma of the cheek. the deeper layers of the skin, and involved the connective tissue beneath it. As it was impossible to dissect out the whole tumour, the cysts were removed as completely as pos- sible, and the gaping walls of the remainder were cut away. Many filaments of the facial nerve were involved in the tumour, and some of them had to be divided; the larger branches, however, were carefully avoided, and those going to the orbicularis palpebrarum were recognised and pre- served. The tumour Avas thoroughly removed from the cheek, but a portion was left upon the temple, and the iso-