Two cases of epibulbar carcinoma, from the surgical clinic in Bonn / by C. Heyder ; translated by J.H. Shorter.

  • Heyder, C.
Date:
1888?]
Catalogue details

Licence: Public Domain Mark

Credit: Two cases of epibulbar carcinoma, from the surgical clinic in Bonn / by C. Heyder ; translated by J.H. Shorter. Source: Wellcome Collection.

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    raw surface still remaining was not very large. Even this could have been corrected by transplantation of a flap from the skin of the adjacent parts, but having the experience of the first case in view, this was abstained from. Finally the wound was asepti- cally cleansed and dressed, and a bandage applied covering all. The course of the healing was entirely without fever. At the first change of bandage, six days after the operation there was moderate suppuration. A few days later the bandage was changed again. The surface of the wound was covered with good granulations ; very little suppuration. On the 22d of Janu¬ ary, at his urgent request, the patient was discharged. Three months later he informed us that the healing process had gone on undisturbed and that the wound was entirely closed. No sign of any relapse as yet. With the exception of the neuralgia previ¬ ously mentioned, which occasionally returned, the condition of the patient is excellent. REPORT OF THE MACROSCOPICAL EXAMINATION. The extirpated tumor was of about the size of a hen’s egg. Looked at from in front the greater part of the growth was seen to be covered with the skin of the lower lid, which is clearly recognizable by the eyelashes. Above is seen that part of the tumor already described as lying in the palpebral fissure ; and uppermost of all, the exposed part of the growth, divided by coarse and fine fissures into small nodules and papillae. A small portion of the growth in this region is covered by the small piece of skin which was removed during the operation. Description of a sagittal section as shown in Fig. 3. The globe seems atrophied and very much changed in shape, having become of an oval form through pressure of the masses of neoplasm above and below. Evidently these changes were due to the resistance offered to the growth forward of the tumor by the skin which stretched over it. The tumor lay closely attached to the globe as far back as the equator ; above, however, an obtuse border projected back and beyond this zone. The large portion of the tumor appeared as a consistent homogeneous mass, only here and there divided by intervening spaces into lobes.
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