Primary carcinoma of the duodenum / by W. Soltau Fenwick.

  • Fenwick, W. Soltau (William Soltau)
Date:
1910?]
Catalogue details

Licence: Public Domain Mark

Credit: Primary carcinoma of the duodenum / by W. Soltau Fenwick. Source: Wellcome Collection.

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    EDINBURGH MEDICAL JOURNAL. -4- ORIGINAL COMMUNICATIONS. PEIMAEY CAECmOMA OF THE DUODENUM. By W. SOLTAU ^ENWICK, M.D. (Loud.), M.E.C.P., Senior Physician to the London Temperance Hospital and Physician to the Evelina Hospital for Sick Children. Carcinoma affects the duodenum as a primary disease much less frequently than the stomach. In the course of 42,000 post-mortem examinations made in Vienna, a primary malignant growth was found in the intestines in 443 cases, but in only seven, or 0-017 per cent., was the duodenum the seat of the disease (Schlesinger). According to Perry and Shaw, ten examples of the complaint occurred in 18,000 necropsies performed at Guy’s Hospital (0-05 per cent.), but of these only four are stated to have been carcinomatous, while among 19,518 post-mortems recorded at the London Hospital I find that the duodenum was the seat of a cancerous growth in eighteen, or in about O’OO per cent. If allowance he made for the occasional inclusion of sarcomata in the latter statistics, it would appear that primary carcinoma of the duodenum is met with once in about 1500 to. 2000 necropsies in London, and thus presents a ratio to gastric cancer of 1 to 20. According to the statistics of Maydl and Schlesinger, the duodenum is affected in about 2 per cent, of the cases of primary malignant disease of the intestine. The great majority of duodenal cancers belong to the cylinder cell variety, hut spheroidal cell growths are not uncommon ; while, according to Atkinson, colloid cancer is relatively frequent. Adeno-carcinoma usually encircles the gut, and gives rise to a contraction of its lumen, which, viewed from the outside, looks as though a piece of string had been tied tightly round the bowel. Less commonly the growth infiltrates the walls for some distance above the stricture cell, and gives the diseased tissues a funnel- shaped appearance. The spheroidal carcinomata either take the form of soft flat excrescences, or of deep ulcers, with elevated irregular edges and fungating bases. 22-ED. MED. 556—NEW SER.—^\'OL. X.—IV.
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