Volume 1

Descriptive catalogue of the pathological specimens contained in the Museum of the Royal College of Surgeons of England.

  • James Paget
Date:
1882-1885
Catalogue details

Licence: Public Domain Mark

Credit: Descriptive catalogue of the pathological specimens contained in the Museum of the Royal College of Surgeons of England. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    While this was going on a slight feverish complaint attacked the constitution. Every evening she was feverish, beginning with a shivering fit: some nights tolerably well, others worse. In the morning violent sweats came on, without any preceding cold or hot fit. The lower excrescence came ojff the second time ; but the whole inner surface, instead of arising into a fungus as the othen part had done, it inflamed and ulcerated, [as] also did [the] cica- trix of the tumour which we [had] extracted. A violent inflam- mation also came on the buttock, and the basis of the lower tumour also ulcerated. This ulceration continued till the whole diseased surface seemed to be gone, excepting the large excrescence; and after some time, when this inflammation was entirely gone off, aU this ulcerated surface began to clean, to granulate, and heal. The left side healed entirely, and the right continued to heal fast. At the root of the great one upon the right labium there formed another, which ulcerated like the large one, and became indeed aU one. Those in the groin began to swell considerably, forming a larger cluster. While this was going on her health was impairing: she became very weak—hardly able to sit up; had but little rest, therefore had recourse to opiates. However, with all her complaints, she had not in the least the appearance of a dying woman: spoke well; pulse not strong, but not very quick; ate tolerably, &c., when at once she was taken with a difficulty of breathing, and just twenty-six hours after the attack she died of it.—Hunterian MS.: Oases in Surgery, p. 127. 489. Part of a groin, in which there is a large and deep cancerous ulcer, with hard, thick, round, and granulated margins, which are elevated high above the surface of the adjacent skin, and everted far over it. Hunterian. It is probable that this specimen was taken from the same patient as the last.