Primary cancer of the Fallopian tube : with a second series of tables of reported cases (no. 63 to no. 100) / by Alban Doran.
- Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927
- Date:
- 1910
Licence: In copyright
Credit: Primary cancer of the Fallopian tube : with a second series of tables of reported cases (no. 63 to no. 100) / 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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![are notes of tlie operation published. In my own case I made notes immediately after the removal of the tubo-ovarian cyst, and, as above related, all appearances implied that the new growth had arisen in the cyst and was only beginning to invade neighbouring parts, whilst dissection of the cyst indicated that the primary seat was the tubal mucosa. [Since this communication was sent to the press two important communications on tubal cancer have appeared, namely : Boxer, “ Beitrag zur Kenntnis des Tuben- karzinoms,” Monatsschr. f. Geb. u. Gyn., Nov., 1909, of which an abstract appears on p. 57 of this number of the Journal ; and Bryden Glendining, “ The spread of Carcinoma by the Fallopian Tube,” in this number of the Journal, p. 24.] Analysis of the Second Table. The total in my “ Table of over Fifty Complete Cases,” already published in this Journal [vol. vi, p. 285] amounted to 62, including Nos. 54 to 62, which had been submitted to my notice too late for their inclusion in the Tables, but were given in abstract. Primary sarcoma, primary mixed tumours and chorionepithelioma* are not included. The remainder, here tabulated, amount to 38. I will now add a summary of the tables, in continuation of that which I included in an article, “ Diseases of the Fallopian Tubes,” which appeared in the second (1906) edition of Allbutt, Playfair and Eden’s System of Gyncecology. The summary (p. 510 et seq.) will serve not only for the article in the System, but also for the Tables in the Journal, on which in fact they were founded. Age. In the 38 cases here tabulated, 10 of the patients were between 45 and 50 years of age when the disease was detected; 7 between 50 and 55; and 5 between 55 and 60. On the other hand, 6 patients were between 40 and 45. Thus, as has already been observed, primary cancer of the tube is most frequent at and for a few years after the menopause. Two patients (No. 73 and 100) had passed their sixtieth year—in the earlier table Nos. 35 and 38 were older—the former (Pawlik and Novy) being 70. Three patients were between 35 and 40; there were 4 of that age in the earlier tables. Lastly, excluding 3 where the age is not recorded, there are 2 under 30, namely, No. 71, age 29, and No. 88, only 27 years of age. This is the “ record ” case, the minimum age in the entire 100. Catamenial History. As before, the record of this important factor is so inaccurate in a large number of the cases as to be of no value for the present purpose. * See Risel, “ Zur Kenntniss des primaren Chorionepithelioms der Tube,” ZeitscJir. /. Geb. v. Gyn., Vol. lvi (1905), p. 154, with 5 of vesicular mole in the tube. See also Zentralbl. f. Gyn. (1905), p. 1327; and Dr. F. J. McCann, “Sarcoma of the Meso- salpinx,” Proc. Boy. Sor. Med., Vol. ii, Obst. Sec., p. 183.](https://iiif.wellcomecollection.org/image/b22467233_0010.jp2/full/800%2C/0/default.jpg)
