A case of sarcoma of the thyroid gland / by J. Solis-Cohen.

  • Solis-Cohen, J.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: A case of sarcoma of the thyroid gland / by J. Solis-Cohen. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    Reprinted from the New Yorh Medical Journal for August 10, 1889. A CASE OF SARCOMA OF THE THYREOID GLAND. By J. SOLIS-COHEN, M. D., PHILADELPHIA. Pressure on the Righi Sympathetic Nerve; Unilateral Tonic Spasm of Laryngeal Muscles ; Intermittent Clonic Spasm of Opposite Side ; Compression Stenosis ; Tracheotomy ; Hcemorrhage from the Gland Twenty Months later ; Pressure upon the Left Sympathetic Nerve; the Functions of the Compressed Pneumo- gastrics aroused by Irritation of the Trachea ; Death from Disturbance in the Functions of the Two Pneumogastrics. XY. Z., of Wyoming Territory, a stock raiser, aged about forty-five • years, applied to rae July 18, 1887, at the instruction of his physicians, with a swollen neck, dyspnoea, right-sided ptosis and con- tracted iris, abnormal warmth of the same side of the face, and with frequent right-sided perspirations of both neck and face. His clinical history was as follows : He was reared in a limestone district, and had always led an active outdoor life. His mother had had a goitre, which he thinks was the cause of her death. A brother and sister have disease of the throat, which he thinks is due to swellings in the neck. Somewhere about 1871-'72 he began to notice that in running he got out of breath much sooner than any of his companions, and that his neck was getting thicker and thicker, so that within from five to six years it increased fully two inches in circumference. His general health con- tinued good. In 1874 he suffered pain for the first time. This pain was a neuralgia of the right eye, which had been more or less continuous since, and at times excruciating. In 1881 he had erysipelas of the right side of the face, and about one month after recovery therefrom his right upper eyelid drooped and the ptosis had been continuous. In 1885 he noted that the right side of his face was hot, and this heat had been continuous since. This heat had been attended by frequent perspirations of the right side of the face and neck, sometimes several times a day. The patient was a sturdy man of medium height, witli an irregular.