Paget's disease, affecting the scrotum and penis / by H. Radcliffe Crocker.

  • Henry Radcliffe Crocker
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Paget's disease, affecting the scrotum and penis / by H. Radcliffe Crocker. 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.

    5/18
    Reprinted from the ' Transactions of the Pathological Society of Loniu^(; 1889. Pagefs disease, affecting the scrotum am (penis By H. Eadclipfe Crocker, M. [With Plates XV and XVI.] X/> JAMES D—, a whitesmith, aged 60, attended University College Hospital first as an out-patient in April, 1887. On the front and left side of the scrotum and on the contiguous under surface of the penis there was an oozing, well-defined area of superficial ulceration. At first sight it was something like an eczema, but the lesion was deeper and more sharply defined than would be expected in that disease, and although there was no corroborative evidence, specific treatment was therefore tried thoroughly, but without any good effect. Various non-specific remedies in the shape of powders, lotions, and ointments were also tried, but without the slightest real benefit; the diseased area gradually extended, especially on the left side. As the removal of the dressing was a long and painful process a complete examination of the disease was not made at each visit, but at the end of November two small nodules were observed in the excoriated area, which at once suggested the malignant nature of the affection, and he was admitted as an in-patient for the removal of it. At that time the lesion extended over nearly the whole of the left half of the scrotum, except the posterior surface ; above, it reached up to the pubes on the inside, over the whole part adjacent to the thigh, and in front, as far as could be seen without raising the scrotum. On the right side it formed only a patch, separated below by sound stin from the affected left side, but joined to it above, where the penis and scrotum were in contact, the skin of nearly the whole of the under surface of the penis being also involved. The general aspect remained the same, viz. a superficially ulce- rated, easily bleeding surface, with well-defined borders, and here and there pearly-white islets, in wlaich the epithelium had escaped destruction, while a serous discharge was constantly oozing from it. The nodules alluded to were situated close together on the left