Thoracic resection for tumors growing from the bony wall of the chest / F.W. Parham.

  • Parham, Frederick W.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Thoracic resection for tumors growing from the bony wall of the chest / F.W. Parham. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

    16/182 page 8
    tlie iiiteniul ul)li<iiie and transversiilis muscles, and to adhere lo the pi'iitoiiLMun for the space of about an inch. From this it was dissected up, and the whole tumor removed in a mass. TIjc latter j)art of the operation was much obscured by the quantity of blood wiiieh was given out by the arteries on all sides. Four large arteries and some smaller ones required ligatures. The ])aticnt suffered much when the tumor was raised, from its drawing the peritoneum outward. This part of the operation, however, was short, and as soon as it was terminated he ceased to suffer severely. The wound was closed, leaving an outlet for the sanguineous oozing (sixth and seventh ribs were resected). On examination of the tumor it presented a cartilaginous hardness. Its surface on all sides was composed of the muscles between which it lay. Its substance consisted of a brownish texture, in which a multitude of granulations, the sixteenth of an inch in size, presented. At one point there was a softening, as if suppuration was about to commence. At another a discolored spot was seen. The internal or epigastric part was equally hard with the rest of the tumor. The surfaces of the cartilages were deeply depressed where the tumor had lain. The patient since the operation has had a smart fever, and some appearances of peritoneal inflammation, which was relieved by two or three bleedings. From this he is now convalescent. (Recurrence took place, but I can find no details.) Case IV. Second case of J. C. Warren, 1837, osteosarcoma {Boston Medical and Surcjical Journal, 1837, vol. xvi. pp. 203, 204). The patient was a stout, healthy person, a surveyor, aged thirty years, from Upper Canada. Six years since, and with- out any previous injury that he was aware of, a small, hard tumor appearefl over the angle of tlx- ninth or tenth ril). Frnni that time to the prcsi-nt it has graduallv increased in
    digitised image 1
    digitised image 2
    digitised image 3