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.

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    Case XIX. Schede's case, carcinoma secondary to carcinoma of the hreixst {Deutschemcd. 11 oeA., September, 1886, vol. xii. ]). 646). Woman, age not given. In 1882 ti)e i)atient «ime for operation on the breast. In 1885 there was a return of the disease, and a second operation was done. A portion of the thorax wall, the size of a saucer, was removed. The ribs were broken down by the growth. The pleura showed small growths (nature not stated), which were not removed, although the pleura seems to have been opened. The wound was cov- ered by a skin-flap, which came into direct contact with the lung. This patient was exhibited a year afterward, and showed no evidence of a return of the disease. (These data are taken from a report of a number of cases by Schede at a meeting of the Hamburg Medical Society, May 18,1886.) Case XX. Case of Trendelenburg, 1885, myxochondroma (Leonhard Meyer, Inaug. Diss., Erlangen, 1889; Ba.\diis, Inaug. Diss., Bonn, 1887). This was a man, aged sixty-one years. There was a tumor seated on the anterior aspect of the left thorax, semi-spherical in shape, and reaching from the sternum to the anterior axil- lary line, and from the clavicle to the mamma. Diagnosis: Chrondromyxoma. The incision was made from the insertion of the fourth rib obliquely across the tumor to the axilla; the flap was raised and the pectoralis major lifted, and the tumor uncovered in the direction of the external incision. Then a vertical cut was made perpendicu- larly to the middle of the first, reaching up to the clavicle. The pectoralis minor was cut acro.'^s. Tiie tumor was lirmly fixed to the rib and evidently growing into the pleural cavity. It involved also the thinl and fourth cartilages, whieli wore largely cut through. The tumor could now be lifted sufti- ciently to see the as yet uninjured pleura. In working down- ward aud inward the pleura suddenly tore. Tlu' wound was
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