Remarks on hernia ; A case of congenital macrostoma and deformity of the ear ; Case of excision of the upper jaws ; Unusual specimen of gangrenous bowel ; Sarcoma of the testicle / by Rushton Parker.

  • Parker, Rushton, 1847-1932.
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: Remarks on hernia ; A case of congenital macrostoma and deformity of the ear ; Case of excision of the upper jaws ; Unusual specimen of gangrenous bowel ; Sarcoma of the testicle / by Rushton Parker. 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.

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    SAECOMA OF THE TESTICLE. Mr Rushton Parker showed the left testicle of an otherwise healthy-looking infant, aged seven months, symmetrically en- larged by malignant disease until its size had become about 2xl|xl| inches. Two days previously the child had been brought to the Royal Infirmary on account of a scrotal swelling, which the mother had noticed ever since the child was two weeks old. Examination showed that the scrotal swelling was contained in the left division, though hanging in a median position; and that the right division, with its normal testicle, was stretched over the other. The swelling was soft and elastic, like a hydrocele, though not translucent on superficial examina- tion. Puncture with an exploring trocar was attended, in two places, with no more issue than a drop or two of clear slightly sticky juice, colourless at first, and afterwards mixed with blood, together with a feeling of solid, though soft, resistance to the stab. The tumour thus proving almost certainly solid, and the mucus obtained from it giving a clue to its probable myxo- sarcomatous composition, the mother was advised to permit operation, which was performed on the following day. Incision of the scrotum in the left front revealed the enlarged testicle, behind a sound tunica vaginalis, shut off from the abdominal peritoneum at the inguinal canal only, below which it was spread over the cord and testicle. The tunica albuginea was covered with injected blood-vessels, and on incision into the organ its soft medullary appearance was manifest. The cord was tied with catgut, and castration at once completed. The naked-eye appearance of the cut section was the mottled white, pink, and yellow, indicating a soft sarcoma. No pelvic or other abdominal tumour has yet appeared in the case. In January 1886 the child’s father reported it to be quite well. . 1
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