On the results of operations for carcinoma of the tongue : with an analysis of 197 cases / by Henry T. Butlin.

  • Butlin, Henry Trentham, Sir, 1845-1912.
Date:
1908
Catalogue details

Licence: In copyright

Credit: On the results of operations for carcinoma of the tongue : with an analysis of 197 cases / by Henry T. Butlin. 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.

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    were performed in the first seventy cases, four of them in the first thirty cases. The disease was not as thoroughly removed as in the cases during the last fifteen or more years. Not one of these lives was saved by the second operation. Two of the four patients died of recurrence in the tongue. The other two died of affection of the glands, which had been imperfectly removed in both cases. Glands.—Bight patients were operated on for recurrence in the glands. Again, it is noticeable that seven of these cases occurred in the first ninety cases, and only one in the remaining 107. In that case the sub- maxillary salivary gland was left for cosmetic purposes, with disastrous result. The lives of two of these eight patients were saved. The first was an old man from whom the anterior part of the tongue and some enlarged glands were removed in September, 1893. In May, 1894, two glands were enlarged at the angle of the jaw, and were removed. He came to see me in 1902, eight years after the second operation, very well, but very feeble from old age. The second of these patients was a woman, from whom one side of the tongue was removed in October, 1894. In December of the same year two or three enlarged glands were removed, and in the following February (1895) some more glands. She remains quite well up to the present time, a period of more than thirteen years. The results of operations for the removal of recurrent disease, whether of the tongue or glands, have been so bad that operators are counselled to make the first operation as complete as possible in the belief that the only hope of the patient lies in the thorough manner in which this operation is performed. ADLARD AND SON, IMPR., LONDON AND DORKING.
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