Retro-pharyngeal sarcoma / by F.I. Knight.

  • Knight, Frederick I. (Frederick Irving), 1841-1909
Date:
1878 [i.e. 1879]
Catalogue details

Licence: Public Domain Mark

Credit: Retro-pharyngeal sarcoma / by F.I. Knight. 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.

    10/20 (page 6)
    Larondelle^ reports the case of a woman, twenty-eight years of age, who had had dysphagia sixteen months. For six months she had been unable to swallow solids, and had sometimes regurgit9,ted liquids through the nose. Her voice was thick, hoarse, and nasal. She had severe paroxysms of cough, and suffocation; also nausea and vomiting. On ex- amination a large, round, smooth tumor, reddish in color, was seen filling the space between the base of the tongue, the poste- rior wall of the pharynx, and the larynx. It was attached by a short pedicle (about two centimetres thick) to the left lateral wall of the pharynx below the tonsil. It was removed b}- the ecraseur. It measured seven by four centimetres. It consisted of connective and elastic tissue surrounding alveoli filled with fat cells. Adipose tissue very abundant. It was called sarcoma. Perhaps it should have been classed rather as a lipoma. The pedicle seemed to consist only of mucous membrane. There had been no recurrence at the end of seven months. Iiosenbach,2 reports a case operated on by ,Prof. Baum, of Gottiugen. A man, forty-five j'ears of age, was sent to the hospital on account of dysjjhagia and dyspnoea with suf- focative attacks, which had been developing for six months or more. He had coughed up a piece of new growth half as large as the terminal phalanx of the thumb. On ex- amination of fauces, a large reddish tumor was discovered. It was soft, and its surface was uneven, presenting^large and small projections. It was adherent to the j^harynx on the right of the hyoid bone. It measured one centimetre horizontally, more vertically. There was no lymphatic enlargement. Tracheot- omy was done. Trendelenburg's cauula was introduced, and then sub-hyoid pharyngotomy was peribrraed. The growth was torn away with the fingers, and ligatures ])ut upon the adherent stump. The growth was pronounced a round-cell sarcoma. The patient was discharged cured, but there was no subsequent re- port from him. _J / Venturini,-^reports the case of a boy, twelve years of age. A / year before seen by V. he had had otorrhoea of the right ear, and some enlargement ^^y^ ^a^^^^ glands of the same side. At 1. Bulletiti L'Academie^e Medicine de Belgique III Serie. Tome 4, p. 183. 1870. 1/ 2. Berliner Klinische Wochenschrift^ 1875, p. 519. Y' 3. UIpjMcratico, 1871, vol. XIX., 3 Ser. p. 1)9.