Supplementary catalogue of the Pathological Museum of St. George's Hospital : a description of the specimens added during the years 1866-1881 / by Isambard Owen.

Date:: 1882

Credit: Supplementary catalogue of the Pathological Museum of St. George's Hospital : a description of the specimens added during the years 1866-1881 / by Isambard Owen. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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$lower jaw, extendin<^ from just in front of the canine tooth to the angle. Inside the bone, expanding, and in places penetrating it, is a myeloid growth, the visible surface of which has been stained with carmine. It was removed from a hospital patient, a woman aged 46. The existiug- tumour was recurrent for the second time. One in a similar situation had been removed by Sir J. Paget in December 1870 ; a second, in a similar situation, b}^ Mr. Pollock in 1875 or 1876; and that seen in the specimen had commenced to grow shortly after the second operation. In one of these operations all the left lower teeth behind the canine had been removed. Excision ,was performed by Mr. Pollock on April 22, 1880. The patient did fairly well. Surgical Gases. 1880. No. 683 (with drawing). 3505. Mj^eloid Tumour of the Head of the Tibia. 164«. patient, a man aged 32, was admitted into the Hospital on January 13, 1869. He stated that about thirteen months previously he had suffered pain over the head of the left fibula; and that, five months later, he had remarked the swelling, which had increased slowly and steadily for the first two months. For the six months previous to admission its increase had been rapid, he had wasted considerably, and had suffered occasionally^ from haemoptysis. Amputation was performed by Mr. Prescott Hewett on January 21. The patient died of pyaemia on Febru- ary 13. The upper extremity of the tibia was expanded into a globular tumour of the size of a coca-nut. It did not involve the knee-joint, but was separated from it only by the articular cartilage. It terminated somewdiat abruptly, just below the position of the spine of the tibia, and beyond this point the bone was healthy. The tumour was made up of three different structures. The bulk of it consisted of a greyish, gelatinous material [a], soft, elastic, and semi-transparent. This was traversed in every direction by a number of bands of pearly whiteness {0). In places these bands were collected together and formed considerable masses, which had more the appearance of fibrocartilage than anything else. In the centre of the tumour was a hard, firm, mass (7), about the size of a walnut, resembling on section a raw turnip. This was surrounded by softened and broken down material. Microscopic examination of (a) showed it to consist en- tirely of cells and free nuclei, with a little fatty and D 2$