Congenital orbital sarcoma of endothelial origin in an infant : operation and preservation of globe / by Mortimer Frank.

  • Frank, Mortimer, 1874-1919.
Date:
[1903?]
Catalogue details

Licence: In copyright

Credit: Congenital orbital sarcoma of endothelial origin in an infant : operation and preservation of globe / by Mortimer Frank. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    ing to the inner wall of the orbit was explored for a possible opening into the cranial vault, but none could be found. A ligature was tied around the proximal or attached end and the sac cut away beyond it. The severed muscles were approximated and sutured, and the opening in the bulbar conjunc- tiva closed. Two weeks after the operation, the lit- tle patient was taken to his home, in Wisconsin, with the eye slightly converged, but otherwise nor- mal. I am informed that the child is healthy, and that the only evidence of an operation having been performed is the slight convergence which still per- sists. (September 15, 1903.) Macroscopical Examination: The tumor was en- closed in a fibrous capsule, and measured approxi- mately 10mm. inthickness, and about 2 cm. in length. It was grayish-red in color, friable in consistency, re- sembling normal brain tissue, and similar in shape to a sausage. It had no pedicle, but was attached at its proximal end by numerous bands directly to the periosteum of the inner wall of the orbit. Histological Examination: The tumor was preserved in alcohol and imbedded in celloidin and paraffin. Sections were stained in hematoxylin and eosin, saf- franin, Van Gieson's stain, thionin, and Unna's poly- chrome methyl blue. Viewed as a whole, with a low power (Fig. 1), the tumor is composed of a large number of cell masses, bounded by more or less complete anastomosing bands of fibrous tissue, so that an alveolar arrange- ment is produced. The alveoli, however, differ widely in size and in proximity to each other, and are not perfectly solid. On more careful examina- tion it is clearly seen that the alveolar masses are formed by a somewhat complete double row of cells (Fig. 2), the long axes of which lie in line with the radii of the alveoli. The center of the alveolus within this stockade of border or covering cells is