On the results of operations for carcinoma of the tongue : with an analysis of 197 cases / by Henry T. Butlin.

  • Sir Henry Butlin, 1st Baronet
Date:
1908
Catalogue details

Licence: In copyright

Credit: On the results of operations for carcinoma of the tongue : with an analysis of 197 cases / by Henry T. Butlin. Source: Wellcome Collection.

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    In both these cases the primary disease was situated on the border of the tongue, and was of rather small extent. It was some distance back on the border in both cases. It showed microscopic signs of excessive malig¬ nancy in one of the cases. XI. If it is not necessary to remove the Glands on Both Sides of the Neele in every instance, are there Cases in which this Procedure is desirable ? The following conditions appear to me to call for wider removal of glands : O (i) Those cases in which the glands on both sides of the neck are enlarged. (ii) Those cases in which the glands are affected only on the side of the neck opposite to the disease. (iii) Those cases in which the disease is seated on both sides of the tongue, or in which it reaches to the middle line of the tongue. (iv) Probably it ought to be done in those cases in which microscopical examination gives reason to believe that, although the primary disease is apparently only of small extent and depth, it is much more malignant than usual. When, for instance, columns of cancer cells are- found running deeply down between the muscular fibres. XII. Is it necessary in all Cases to remove the Muscles to their Attachments ? (During the last two or three years researches on the spread of cancer of the tongue have been made by Mr. Lenthal Cheatle, C.B. He has found, in microscopic sections of the muscles at a considerable distance from the
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