The course and prognosis of orbital tumors as influenced by surgical operations for their removal / by Charles Stedman Bull.

  • Bull, Charles Stedman, 1844-1912.
Date:
[1896]
Catalogue details

Licence: Public Domain Mark

Credit: The course and prognosis of orbital tumors as influenced by surgical operations for their removal / by Charles Stedman Bull. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    weeks after the fifth operation, and eleven months after the first operation. Case XXXIII. A gentleman, aged 44, first seen August 7, 1889. Five years ago a small tumor appeared at inner angle of left orbit, which he was advised to have removed, but declined any operation. It grew slowly in size but was pain- less. Exophthalmos began three years ago and the eye now protrudes downwards, outwards, and forwards, and is blind. A large growth could be felt on inner side, roof, and floor of orbit. It was hard, immovable, and non-sensitive. The eye was enucleated and was found firmly attached to the growth. The tumor was intimately adherent to the periosteum throughout its extent, and the latter was carefully stripped up and removed and the bones cauterized. The original tumor had been of rather slow growth, but within two months a nodule was observed on the floor of the orbit and grew with great rapidity, so that a month later it was as large as a large almond. At the time of its removal there was another small nodule on the inner wall and one at the apex. These being excised, a careful examination made it probable that all the bones of the orbit were diseased, and all further interference was abandoned. Within two months of this second operation, the entire orbit was filled by the tumor, and the patient, in about a year, died from general exhaustion. Case XXXIV. A gentleman, age 52, first seen November 17, 1891. At the age of eighteen a small tumor made its appearance at the upper and inner angle of left orbit. It grew very slowly in size and two years later was removed. Two years later it reappeared in the same spot and grew very slowly and painlessly for about three years. It then remained un- changed until a year before I saw him, a period of twenty-six years. It then began again to increase in size and when I saw him in 1891 it was as large as a lima bean. I removed it through an incision in upper lid, beneath the orbital arch. It recurred in about nine months and grew more rapidly, pushing the lid before it. Fifteen months after my first operation, the eye being nearly blind, I removed it again, together with the eye and all the contents of the orbit. Ten months later it had
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