On the operative surgery of malignant disease / by Henry T. Butlin ; with the co-operation of James Berry (The thyroid) W. Bruce Clarke (The kidney) Alban Doran (The ovary and uterus) Percy Furnivall (The stomach, intestine, and rectum) Walter Jessop (The eye) H.J. Waring (The liver and gall-bladder).

  • Sir Henry Butlin, 1st Baronet
Date:
1900
Catalogue details

Licence: Public Domain Mark

Credit: On the operative surgery of malignant disease / by Henry T. Butlin ; with the co-operation of James Berry (The thyroid) W. Bruce Clarke (The kidney) Alban Doran (The ovary and uterus) Percy Furnivall (The stomach, intestine, and rectum) Walter Jessop (The eye) H.J. Waring (The liver and gall-bladder). Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    sarcoma of the eye: consequently, if the operation is successful in arresting the local extension of the tumour and there is no simultaneous affection of the other eye, complete cure may more reasonably be expected in cases of glioma than in cases of sarcoma. Operations for recurrent disease are very rarely successful, but one case is on record in which exenteration was performed for recurrence taking place four weeks after enucleation and resection of the optic nerve, and the patient was alive four and a half years afterwards; another case of recurrence five weeks after exenteration was alive five years after the operation. There is therefore a slight hope that early and free removal of recurrent disease may be attended with success. Wintersteiner gives the following statistics in a hundred cases in which recurrence took place: in seven cases operated on during the first stage the average interval of immunity was four mouths; in sixty-six operated on in the second stage it was 2*7 months; in twenty-seven operated on in the third stage the average was two months. These bear out the fact that the more advanced the growth, the quicker is the recurrence; the shortest known recurrence, was eight days and the longest twelve months, but these times are not necessarily the commencement of the recurrence as some growths are described as being as big as an orange even after only two and a half months. The number of cases of metastasis after enucleation or exenteration is only thirteen, or four per cent., but this is prob- ably too low, as in many cases the cause of death was not stated. Sarcoma.—The great difficulty in estimating the percentage of recovery after operations for sarcoma is the fact that no cases can be called in any way cures until at least three years have passed by, and probably this period ought to be increased to four years or more. There are instances of metastasis and recurrence after eight years. For the following statistics of results after operation in cases of sarcoma I am indebted to a great extent to the cases mentioned by the following authors. Fuchs {Das Sarcom des Uvealtradus, Vienna. 1882); Lawford and Collins {Royal London Hospital J>'(;]»,rls, vol. xiii. p. 2, 1892); Groenouw {Archiv fiLr Ophthalmologic, vol. xlvii. p. 398), and Hill Griffith (Ophthalmic BeviWf vol. x. p. 353)-