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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    marked. There was, al)ove all, no notewortiiy heart di8tiirl>- auce. The tumor showed itself microscopically a round-celhd sarcoma; the intercostal nerves were embedded in th(f tumor, an explanation of the pains. The day after the operation the temperature was 38.9°, afterward normal. He left his ImkI December 24th for a little while, but feeling chilly and badly, after half an hour he lay d(nvn again. He had a restless night. Temperature next day was 39.3°, lasting several days. On January 13, 1888, he was discharged at his request, the temperature being normal. There were no signs, on exami- nation, to explain the cause of the trouble. On December 25th the surgeon had thrust in his finger at the open angle of the wound, thinking there might be some retained fluid, but only a little bloody serum came. The wound was closed, and when discharged it was comj)]etely healed. At home the wound suppurated again a little, but was healed again in the beginning of February. Some days after this healing, during a spell of coughing which lasted a quarter of an iiour, a quart of foul, stinking, yellowish-green pus came up. These attacks were subsequently repeated, with less discharge. This con- tinued, getting less and less through March, April, May, and June. He got stronger and felt better. In July, 1888, he remarked a tumor at the site of opera- tion, and returned to Heineke's clinic July 16, 1888. The skin was observed to draw in during inspiration, and bal- looned out as large as a child's liead during expiration. Diagnosis : Recurrence of sarcoma in the cicatrix, increas- ing apical consolidation, and hernia ])ulmonalis at the site of extirpation. On July 18th the tumor was extirpated through an incision in the cicatrix, the pleura being again opened and closed with suture. Union i)y first intention. A piece oi the horniatod lung was removed at this operation. Case XXV. Miiller's case, 1888, chondrosarcoma (Taken from Paget's Surgei^ of the Chesty p. 1G9. See also W. Miiller, Deutsche Zeitsch.f. l-lin. Chir., 1893, p. 41).
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