Annual report : 1934 / Society of the Lying-in Hospital of the City of New York.
- Society for the Lying-In Hospital
- Date:
- 1934
Licence: Public Domain Mark
Credit: Annual report : 1934 / Society of the Lying-in Hospital of the City of New York. Source: Wellcome Collection.
51/60 page 47
![History No. 2265—Adenocarcinoma of the ovary Patient, white, para I, menopause 2 years ago, age 43, Wassermann negative, was first admitted to the Gynecological Service on September 12, 1932 complaining of anorexia, loss of 12 pounds of weight in 2 months, inconstant pain in lower abdomen and increasing enlargement of abdomen. From pelvic examination a diagnosis of malignancy of the ovary was made. An exploratory laparotomy was done on October 3, 1932 and biopsy of ovarian tumor taken. Pathological diagnosis was papillary adenocar¬ cinoma of the ovary. Later patient was given a series of deep X-ray therapy until March 8,1933 at which time the ovarian tumor was removed. Later more X-ray therapy was given. Patient had repeated hospital ad¬ missions for abdominal paracentesis, a total of 135,000 cc. of fluid being removed. On December 4, 1933 beginning gangrene of the left fingers was noted; on December 26, 1933 patient had a cerebral accident which paralyzed the right side of her face and right arm. X-rays of lungs were negative for metastases. Patient continued to lose weight and have marked ascites and was admitted for a paracentesis on March 20, 1934. Suddenly on March 27, 1934 patient began to have generalized convul¬ sions occurring every 3 minutes and lasting about 1 minute. Her condition grew steadily worse and respirations ceased at 4:47 a.m. on March 28, 1934. Autopsy. Papillary cystadenocarcinoma of left ovary; implantations on peritoneum; metastases to iliac, inguinal and mesenteric lymph nodes. History No. 38898—Carcinoma of cervix. Patient, age 42, white, para 3-0-0-3, Wassermann unknown, was ad¬ mitted first on September 8, 1933 because of extreme pain in left lumbar region. A diagnosis of carcinoma of the cervix, hydronephrosis and hy¬ droureter was made. One year before an ulcerated cervix had been noted and a trachelorrhaphy done followed by radium and x-ray therapy. Patient was given deep x-ray therapy. In December, 1933, patient was readmitted and a hypogastric sympathectomy done for the relief of pain. On March 3, 1934, she was readmitted, condition much worse. Relief from pain had been only of three weeks’ duration. Patient grew steadily worse and death occurred on April 7, 1934. Autopsy: Not obtained. History No. 64079—Pelvic malignancy. Patient, age 55, white, single, was admitted complaining of weakness, loss of weight, and a tumor of the abdomen. At the age of 40 she had been told that she had a tumor of the uterus. Menopause at the age of 50; some vaginal bleeding 2 years ago, and slight bleeding for the past 8 months. On admission the temperature was 38.6°C. and patient stated she had had chills and fever, with tenderness over the right kidney, for 2 [47]](https://iiif.wellcomecollection.org/image/b31710979_0051.jp2/full/800%2C/0/default.jpg)
