On follicular disease of the scalp / by James F. Goodhart.

Sir James Goodhart, 1st Baronet

Date:: [1870]

Credit: On follicular disease of the scalp / by James F. Goodhart. 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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structure by fatty material, but when cleared up by ether the corium was found extensively invaded by an epithelial growth (fig. 1), arranged much after the manner of gland acini. It is, I think, not improbable, from a somewhat similar appearance in Case 2, that this was due to the disease attacking, for the most part, the epithelial lining of the hair-follicle. Where the epi- thelium had fallen out in making the sections a delicate reti- culum of connective tissue was left behind, closely resembling the stroma of many of the sarcomata. Now, in this case, the malignant nature of the growth may be fairly questioned, and if the interpretation put upon the appearance as depicted in fig. 1 be correct, then I think it may be said that no evidence existed of any tendency to recur, seeing that the tissues nearest to the growth showed no signs of par- ticipation in the disease. It is, however, open to doubt whether the locular arrangement of epithelium in the corium was not an invasion of its tissue by new growth, in fact, an epithe- lioma, rather than a mere hypertrophy of the follicular lining. The history of the second case is shortly this, which I abstract from the report of the surgical ward clerk, Mr. Farrant Fry: Anne C—, set. 60, a married but sterile woman, without history of any similar disease in any of her family, noticed, twenty years ago, a small lump like a wart on the right side of her head, but which did not increase much till five years ago. She was then told by a medical man she had a fatty tumour between the layers of the skin. Soon after, while combing her hair, she punctured the tumour, Avhich was now about the size of a penny, and projecting from the surface; a quantity of matter came away, and it quite healed in a few days. Three years after the tumour came again, and has gradually increased ever since. She was told by medical men she had a cancer. She has wasted lately. I insert these details to show the changes that the tumour underwent; at first it is described as a fatty tumour between the layers of the skin, which features might very well be put on by a sebaceous cyst. Latterly it is described as a cancer. When admitted she had an irregularly globular, somewhat flattened mass, on the anterior part of the right parietal erai-

On follicular disease of the scalp / by James F. Goodhart.

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