On the absorption of fibroid tumours of the uterus : with a report of a suspected case / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927
Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: On the absorption of fibroid tumours of the uterus : with a report of a suspected case / by Alban Doran. 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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    her, he again explored the pelvis. The tumour had entirely disappeared. She had not borne children for many years. This case was originally published by Dr. Gueniot. (28) One case of Dr. Asliwell’s will find place here, the remaining will be found in the next series. Dr. Playfair shows that Dr. Ashwell cannot be correct in attributing the disappearance of the tumours to the prolonged use of iodine alone, since apparently all four patients were over thirty-nine and two were forty-eight. Dr. Ashwell, in November, 1840, first saw this case. She was forty years old, and two months previously had dis- covered an enlargement in the hypogastric region, which was tender, but not very painful. It became larger, and as there was much pain she was examined. “ A tumour of considerable induration [the italics are Dr. Ashwell’s] was discovered. It had risen three or four inches towards the umbilicus, and although it passed a little to the right of the mesian {sic) line of the body, by far the larger portion was in the left hypogastric region. The cervix uteri was swollen, patulous, and indurated in several spots.” Iodine and iron were given and leeches applied on alternate mornings to the tumour. “ The morbid enlargement, by the end of February, did not exceed the bulk of a large Seville orange; it having in November equalled in size a foetal cranium at the full period of gestation.” By August, 1841, the tumour had “sunk quite within the pelvic cavity,” and “ the cervix was much more healthy. In 1845, and subsequently in 1851, I was informed that not a vestige of the tumour remained.” No doubt this tumour greatly diminished, but it is not stated who gave the in- formation that not a vestige remained at the end of five years, when the patient was forty-five. (29) In Dr. C. H. F. Routh’s second case (see Case 25) the patient, aged forty, was matron at a charitable institu- tion, and Dr. Routh informs me that she she was “ very regular, with abundance.” The diminution took about two years.