Successful removal of a large goitre : with remarks / by Edward Jessop and James Berry.

  • Jessop, Edward.
Date:
[1889]
Catalogue details

Licence: Public Domain Mark

Credit: Successful removal of a large goitre : with remarks / by Edward Jessop and James Berry. 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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    vLi^c [Reprinted from St. Bartholomew’s Hospital Reports, Vol. XXV.] SUCCESSFUL REMOVAL OF A LARGE GOITRE, V WITH REMARKS. BY EDWARD JESSOP and JAMES BERRY. Tlie patient, Jolm W., was sent to the Cottage Hospital, Eetford, in the middle of February 1888. He was 27 years of age, and had had an enlargement of the neck, at any rate, as long as he could remember, but it occasioned him no incon- venience until seven years ago. Since then, however, the tumour had been gradually getting larger, especially during the last twelve months, and for the last seven months he had been quite incapacitated from doing any work. The tumour, depicted in the photograph (fig. i), consisted of an enlargement of both lobes of the thyroid body joined together by a somewhat narrow isthmus. The enlargement of the left lobe was about the size of a large Jersey pear, constricted round the centre, the long axis running from the lobe of the ear to the sterno-clavicular articulation. It had a smooth though some- what lobulated surface; it was soft and elastic in some places, firm and unyielding in others, and gave the impression of being composed partly of cysts and partly of solid nodules. The right lobe was smaller and rounder, and about the size of a man’s fist, and presented the same characteristics as the left. The patient’s difficulty of breathing was so great that he was in constant dread of suffocation; he could walk only at a very slow pace on account of the dyspnoea. He had considerable dysphagia, frequently having to stop eating in the middle of a meal, especially when taking solid food. He also complained a good deal of pain in the neck, which appeared to be due chiefly to the size and weight of the tumour. He was seized with dizziness when stooping in the slightest degree. He was unable to lie down, having always to sleep in the semi-recum- bent position. The dyspnoea was much aggravated by a close VOL. XXV. G