Two cases of small ovarian tumours simulating uterine fibroid : removal, recovery / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1892
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Licence: Public Domain Mark

Credit: Two cases of small ovarian tumours simulating uterine fibroid : removal, recovery / 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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    WITH ini a Reprinted for the Author from the British Medical Journal. June 4. 1892. TWO CASES OF SMALL OVARIAN TUMOURS SIMULATING UTERINE FIBROID: By ALBAN DORAN, F.R.C.S., Surgeon to the Samaritan Free Hospital; Vice-President Obstetrical Society of London. The two eases which are described in this paper are of con- siderable clinical and surgical importance. In each, the tu- mour was small and closely connected with the uterus, so that uterus and tumour moved together. So far, the tumour bore the characters of a uterine fibroid. In each, however, the age of the patient and the relatively rapid growth of the tumour were in favour of ovarian disease, although fibroids may appear in young subjects and grow with rapidity, whilst patients are oftenmistaken about the rate of growth of tumours. The doubtful nature of the tumour rendered an immediate exploratory operation justifiable. The result proved that, had I waited longer, the risks of operating would have greatly increased. An ovarian tumour cannot be removed too early, and this rule is most important when bimanual exploration and the sound prove that the tumour is closely connected with the uterus. The removal of a large ovarian tumour with a very short pedicle, or no pedicle, is a formidable ope- ration. E. L., aged 30, a tall, strongwoman, married eighteen months previously, but a widow for six months, was admitted into my ward at the Samaritan Hospital in December, 1891. She was a patient of my friend Dr. Chill, of Tollington Park. Two months previously she had noticed a tumour in the liypo- gastrium towards the right iliac fossa. It grew very rapidly, and for the fortnight preceding admission the patient was troubled by a continual desire for micturition. A firm, sphe- rical, apparently solid mass occupied the lower part of the abdomen, reaching half way up to the umbilicus. The uterus was pushed to the left, the cervix was short, and the sound passed 3 inches upwards and to the left. The tumour ex- tended into the right fornix, and to a less degree into REMOVAL: RECOVERY. [WITH A LITHOGRAPHIC ILLUSTRATION.]