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.

    26/182 page 18
    vertebral column, and, when with tlie fingor and sharp spoon tlie neoplasm was as far as j)ossible removed, the gray-hlue lung was seen to form the posterior limit of a tumor cavity, which was projected as large as a man's fist into the chest cavity. The bleeding was considerable, and hard to check owing to the tearing out of the ligatures in the tis-sue. Cavity filled with gauze and skin sutured. Strict Listerian dressing. She did badly for a time, and there seemed to be a communi- cation between wound and lung, as she said she felt the wash- ing-fluid go into the lung, and she coughed violently. 20^/j. Air-bubbles escaped from wound. After this she improved, and by August 1st there seemed to be no lung communication. August 17th. Recurrence in the form of a round, bluish- colored swelling. 2Qlh. llapid progress of the growth. September 1st. Resected. Small nodules scattered over the wound. 6th. Chloride of zinc application. From now on icterus developed and increased. Bile con- tinued, however, to pass by stool, and was absent from urine ; liver and spleen enlarged. Other growths show in the wound. More zinc chloride. 23f?. Temperature 40°. Liver-line down to umbilicus. 25th. Lung communication again. No albumin nor bile in urine. October Sth. For nearly two weeks temperature not above 38°. Continued use of chloride of zinc had little effect since the growth enlarged. She became more dyspntvic, and died Nov'ember 16th in collapse. Autopsy showed right lung infiltrated with little tumors, the large arterial branches being also filled with these tumor masses. Similar masses in left lung. The tumor was an enchondroma myxomatosum. Prof. Roth, of ]3asel, who examined tho tumor, thought the original tumor was iuid()ul)tc(lly an enchondroma, and more likely so from the fact that the metastases in the lungs represented
    digitised image 1
    digitised image 2
    digitised image 3