A case of cavernous papilloma of the vocal band / by Franklin H. Hooper.

  • Hooper, F. H. (Franklin Henry), 1850-1892.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: A case of cavernous papilloma of the vocal band / by Franklin H. Hooper. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    5/6 (page 3)
    tissue wall, forming on its outer portion a basis for tlie epithelial cells, and on its inner surface the lining of a rather irregular cavity, with pro- jections from the wall into the cavity, these representing, probably, tra- becuhe which had been cut across. The cavity itself is filled with red- blood corpuscles. The wall has not the structure of a vessel proper, but is rather a cavernous tissue. ‘•My opinion is that it was a cavernous tissue from the start, and does not represent a dilated blood-vessel. “I do not remember to have seen such a tumor before, but should think the term Cavernous Papilloma justifiable.” [Signed] W. W. Gannett. The patient was advised to abstain from preaching, and to allow the larynx as complete rest as possible for at least one month, but no special treatment was directed to the seat of the growth, and the day following its removal he left the city for his home in a neighboring State. There has been no recurrence. In a letter received April 10, 1884, he writes, in answer to my question, that he has “held special meetings six weeks in succession, talked or preached every night, and throat as good as new.” The only recorded case which bears any resemblance histologic- ally to the one under consideration is described by Fauvel * as a “ papillary polyp, with very pronounced vascular dilatations, making it resemble an angioma,” which rather meager account is all that is given of its minute structure. Dr. Fauvel’s patient was a man, twenty-eight years of age, who for two years had been troubled with a progressive hoarseness. The tumor, of the size of a pea, rounded and smooth, was situated on the free edge of the right vocal band, and had a broad attachment. It was of a peculiar blackish color. Many attempts were made to remove the growth, but with no result except to bruise it, as it would glide from between the blades of the forceps each time it was grasped. Dr. Fauvel suggests that the cavities which were tilled with blood may perhaps be accounted for by these manipula- tions which forcibly compressed the tumor. It was finally removed by evulsion, the haemorrhage being more than usually abundant. No recurrence took place. * “Traite pratique des maladies du larynx,” Paris, 1876, p. 622.