Diseases of the nose and its accessory cavities.
- Watson, W. Spencer (William Spencer), 1836-1906.
- Date:
- 1875
Licence: Public Domain Mark
Credit: Diseases of the nose and its accessory cavities. Source: Wellcome Collection.
Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.
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![thought), and the wounds healed soundly, but nine weeks afterwards a fresh growth appeared, that seemed to involve or arise from nearly the whole front surface of the right upper jaw-bone ; it was firm, tense and elastic, but not painful, projecting far on the face, as well as into the nostril and into the cavity of the mouth at both the gum and the hard palate. Tliis swelling, under various treatment, rapidly increased ; and in December, 1850, a similar swelling appeared at the left canine fossa, and grew at the same rate with that of earlier origin. Of course the co-existence of two such swellings led to the fear, and in some minds to the conviction, that the disease was cancerous ; and the more, because, at nearly the same time with the second of these, two soft tumours had appeared on the parietal bones. Still the patient's general health was but little impaired; and when the mucous membrane of the palate ulcerated over the most prominent parts of the tumours, neither of them protruded, or bled, or grew rapidly. In April, 1851, the growth of the tumours appeared to be very much retarded, and for the next month was hardly perceptible ; and the patient being very urgent that something should be done to diminish the horrible deformity of her face, Mr. Law- rence, in May, cut away the greater part of the front and of the palatine and lower nasal parts of the right upper jaw, and removed from the antrum all that appeared morbid, including, doubtless, nearly every portion of the tumour. The excised portion of the jaw-bone was involved and imbedded in a large, irregularly spherical tumour, composed of a close-textured, shining, soft and brittle substance, of dark greyish hue, suffused and blotched with various shades of j)ink and deep crimson. It was not lobed, but included portions of cancellous bone, apparently new formed, and was very closely adherent to all the sun-ounding parts. To the microscope it exhibited all the characters of m3'eloid disease, the many nucleated corpuscles being remarkable, well defined, and full. They composed nine- tenths of the mass, and were arranged like clustered cells. The patient recovered perfectly from the effects of the operation, and to everyone's surprise, the tumour on the left upper jaw, which had been in all respects like that removed from the right side, gradually disappeared. It under- went no apparent change of texture, but simjily subsided. The swellings on the parietal bones also, the nature of which was not ascertained, cleared away ; and when the patient was last seen she appeared com- pletely we]], and no swelling could be observed.](https://iiif.wellcomecollection.org/image/b21204561_0450.jp2/full/800%2C/0/default.jpg)
