A table of over fifty complete cases of primary cancer of the Fallopian tubes / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
[1904]
Catalogue details

Licence: In copyright

Credit: A table of over fifty complete cases of primary cancer of the Fallopian tubes / 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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    PniMARY Sarcoma or Mixed Tumour of the Fallopian Tube. These highly interesting cases collected by Peham may be added, with Yon Kahlden’s, to the table of 4 cases of primary sarcoma of the tube which I prepared for Allbutt and Playfair’s System of Gynaecology (1st edition, pp. 834-5). The total will then be only seven, of which two at least were mixed growths. No. 6.* Age 51; one child 29 years. Eegular till a year before operation. For three months abdominal swelling, recently pelvic pain after exertion. Tumour, size of a child’s head, in right of abdomen; on left side another reaching to umbilicus. Abdominal section. Both appendages removed; strong adhesions to intestine and parietal peritoneum. Uterus and right ovary (atrophied) not removed. Death on second day “ from heart failure.” Sarcomatous polypus found in uterine cavity. Right tube, a large cystic tumour characteristic retort-shape, containing brown sanious fluid, papillomatous masses as big as beans on the inner wall. Left tube with left ovary underneath it, flattened, apparently not infected; medullary masses sprang from inner wall of tube obliterating lumen. The tumour tissue from both tubes was of a very mixed character, mostly sarcomatous, bearing on the surface papillomatous masses of a distinctly cancerous nature. (Von Franque). No. 7. Age 43; 2-para, last pregnancy 23 years. Catamenia regular. Swelling of abdomen 2j months; no pain; vesical irritation; emaciation. Tuberous masses in lower part of abdomen; pedunculated tumour to right and a firm tumour to the left. Abdominal section; removal of both appendages. Uterus very large, not removed. Metastatic deposits on peritoneum of bladder and Douglas s pouch. The right tumour formed a hydro-salpinx free from new-growth. The left tube formed a cyst of the usual shape, containing an odourless puriform fluid. Cauliflower masses sprang from its inner wall; they were made up of mixed sarcomatous and carcinomatous elements, as in No. 6. Alive eighteen months after operation, with ascites, masses in abdomen and a cancerous ulcer on the posterior lip of the os externum. (Schafer—operator, Kronig). I doubt ii the alleged primary nature of the tubal tumours in JNos. 6 and 7, sarcoma series, will be universally admitted. What C P sarcomatous polypus in the uterus in TL * caused the enlargement of the uterus in No. 7? J-nese questions remain unsolved. beel (niirr f‘te Fallopian tube have been fully recorded, and the cry is still they come !” * i.e., in sarcoma series.