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.
53/60 page 49
![and a generalized carcinomatous condition of the abdominal cavity found; the primary lesion was believed to be in the region of the pylorus. The pathology report of the ascitic fluid was adenocarcinoma, colloid, ques¬ tionable. The patient’s condition grew steadily worse, the ascites became as marked as before operation, and the patient died on the 16th day post¬ operative. Autopsy: Carcinoma of both ovaries; generalized miliary carcinomatosis of peritoneal cavity; cyst filled with bloody fluid in wall of stomach; bronchopneumonia with abscess of lower lobe of left lung; chronic endo¬ carditis of mitral valve. History No. 61578—Carcinoma of ovaries with metastases. Patient, age 53, white, para 2-0-0-1, Kline tests negative, was first ad¬ mitted to the Medical Service in April, 1934, complaining of epigastric pain and distress of many years’ duration and recent increase in size of abdomen. Examination of ascitic fluid showed carcinomatous cells and a diagnosis of carcinoma of the ovary was made. A diagnostic curettage showed metastases of ovarian carcinoma to the uterus. Patient was given x-ray therapy. While patient was out of the city a private doctor per¬ formed a laparotomy and removed a large tumor from the left side of the pelvis. Pathological diagnosis was serous cystadenocarcinoma of the ovaries. The patient was admitted eight times to the Gynecological Service for paracentesis and had 4 cycles of x-ray therapy. Her condition grew steadily worse. The last admission was December 28, 1934 at which time the patient was dyspnoeic and cyanotic. Abdominal and thoracic paracentesis were performed. Patient became semi-comatose and died the day after admission. Autopsy: Primary carcinoma of the right ovary with metastases to peritoneum, omentum, mesentery, mesenteric lymph nodes, liver, dia¬ phragm, pleura and pericardium. ; [49]](https://iiif.wellcomecollection.org/image/b31710979_0053.jp2/full/800%2C/0/default.jpg)
