Two cases of metastatic carcinoma of the choroid / by G. E. de Schweinitz.

  • George Edmund de Schweinitz
Date:
[1898]
Catalogue details

Licence: Public Domain Mark

Credit: Two cases of metastatic carcinoma of the choroid / by G. E. de Schweinitz. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    upward and inward, and its center was occupied by an irregular scotoma characterized in its central area by dull vision, colors being badly appreciated and white appearing grayish. This area of partial scotoma communicated with the peripheral loss of vision which existed upward and inward. The patient declined opera- tion and was not again seen. The history and the clinical signs would seem to establish the diagnosis of metastatic carcinoma of the choroid. The literature of metastatic carcinoma of the choroid so re- cently has been the subject of study by C. Devereux Marshall^ and by Felix La Grange^, who publish almost identical analyses in tabular form, that it is unnecessary to refer to it in detail. Marshall summarizes twenty-two cases and records two additional ones, while La Grange's tables contain nineteen cases from litera- ture and one of his own. He omits the cases of Kamocki, Wag- ner, Ward Holden^, and Noyes*, which Marshall includes, but has a reference to Samelsohn's case, pubhshed in 1891, which ap- parently has escaped Marshall's attention. If to these lists we add the two examples of this affection which I report, we have in all twenty-seven cases — twenty-one females, five males, and one without clinical history. The mammary gland was the region first attacked in twenty, the lungs and pleura in two, the stomach in three, the thyroid in one, while in one the original seat of the carcinomatous growth is unknown. 1 Royal London Ophthalmic Hospital Reports, Vol. XIV, Part 3, December, 1897. 2 Archives d'Ophthalmologie, January, i8g8. 3 La Grange considers the cases of Holden and Wagner as insufficiently demon- strated and therefore excludes them. Holden submitted to histological ex- amination an eyeball which contained a carcinoma of the choroid, but the clinical history of the patient from whom the specimen was removed was lost. Wagner's patient had carcinoma of the choroid and died of cancer of the liver and stomach at a time when he was not under observation, and hence there is some doubt whether the ocular growth was primary or secondarv. 4 Dr. Noyes (Transactions of the American Ophthalmological Society, i8g4-g6. Vol. VII, p 538) in his resume of the literature of metastatic choroidal carcin- oma includes a case published by myself in conjunction with Dr. Meigs in the American Journal of the Medical Sciences, August, 1894. This is an error, as the tumor was not a metastatic carcinoma but a much rarer growth, a metastatic sarcoma, the metastasis having taken place from a mediastinal sarcoma.
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