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.
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![[20] After such thorough presentations of the subjects as have been furnished by these authorities a further survey of the literature would be simply a repetition and I shall merely report a case which came under my observation in the labor- atory. Its chief interest lies in the large size of the growth. When I first saw the hardened specimen before learning the clinical history, I considered it to be a very large hydrosalpinx or pyosalpinx. On section, however, its true character was readily discernible. Adeno-carcinoma of the right Fallopian Tube, extension to left Fallopian Tube; very small uterus. San. No. 2^53.—Mrs. M. H., aged 46. Admitted to Dr. Kelly’s private sanitarium on May 14, 1907. The patient entered com- plaining of a mass and great pain in the lower part of the abdo- men. The family and past history were negative. The menses began at 14, were regular, moderate in amount, somewhat painful and usually lasted four days. For the last two or three months the periods have been irregular but profuse. She had one miscarriage when 18. Recently there has been a profuse leucorrhceal discharge which, for the past year, has been associated with some odor and with blood. Present Illness.—Two years ago the patient first had what she called an attack of appendicitis. The pain was located in the right iliac fossa and was severe and cramp-like in character. It has persisted in this region and for the last year has also been present in the left side. The pain radiates into the leg and for the last four or five months both legs have been swollen. Operation.—The uterus was removed by bi-section; a small piece of intestine was also removed on account of a little sub- peritoneal cyst which was supposed to be secondary to the tubal growth. There was no glandular involvement and no evidence of any peritoneal implantation. Path. No. 11536. The specimen consists of a small uterus, of a greatly enlarged right Fallopian tube and of an enlarged left Fallopian tube. The body of the uterus is 4 cm. long and about 4 cm. broad. It is markedly atrophied. The right tube at the uterus is about 7 mm. in diameter, but after passing outward 1 cm. it curves on itself, becomes markedly convoluted and 5 cm. from the uterus is 5 cm. in diameter. It continues to increase in size until at its outer end it is 10 cm. in diameter. Roughly it forms a sausage-like tumor 14 cm. long, 12 cm. broadband about 10 cm. in thickness. Anteriorly it is covered with adhesions. Posteriorly it is perfectly smooth and springing from its surface is a sub- (2)](https://iiif.wellcomecollection.org/image/b22467221_0006.jp2/full/800%2C/0/default.jpg)
