Carcinoma of the right fallopian tube readily palpable through the abdomen / by Thomas S. Cullen.
- Thomas Stephen Cullen
- Date:
- [1911]
Licence: In copyright
Credit: Carcinoma of the right fallopian tube readily palpable through the abdomen / by Thomas S. Cullen. 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.
10/12 page 4
![[2i] sembles, to a marked degree, a very cellular and branching papilloma. It is interesting to note that the other tube presents a similar appearance. One tube may have picked the carcinoma up from the other. The tube walls themselves are not over 1 mm. in thick- ness. We did not receive the ovaries or the small nodule from the bowel for examination. We find no record of any other carcinomatous tube that has reached such large proportions. Post-Operative History.—Sept. 30, 1910. Dr. Curtis F. Burnam kindly made inquiry concerning the patient and finds that there is at present a marked recurrence of the growth, there being a large palpable abdominal mass. The patient, however, is able to do her work most of the time and her general health has been but little affected. The growth has evidently been a rather slow one as it is nearly three years and a half since operation. DESCRIPTION OF FIGURES. Fig. 1.—Primary Carcinoma of the Fallopian Tube. (Natural size.) The small uterus has been bisected and one-half is seen in the lower part of the picture. The tube at the cornu is small, but after passing outward a short distance rapidly increases in size. Its outer end is so much distended that it might readily be mis- taken for an ovarian cyst. The surface of the tube is covered by numerous adhesions and its vessels are large and tortuous. The interior of the tube is shown in Fig. 2. Fig. 2.—Primary Carcinoma of the Fallopian Tube. (Natural size.) For the general contour see Fig. 1. In the lower part of the picture is a cross section of half of a bisected uterus. The great increase in size of the tube is in a large measure due to a friable, stringy growth which almost completely fills the lumen. The great distension of the outer end of the tube has been caused by an accumulation of serous fluid which has coagulated in the hardening fluid. This coagulum is seen retracting from the tube wall and could readily be lifted out of the tube in one piece. It will be noted that where the tube is so much dilated its walls over a considerable area are totally devoid of new growth.](https://iiif.wellcomecollection.org/image/b22467221_0012.jp2/full/800%2C/0/default.jpg)
