Myoma of the uterus becoming sarcomatous / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Myoma of the uterus becoming sarcomatous / 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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    By Alban Doran. [With Plate XII, figs. 1 and 2.] The possible conversion of a uterine “ fibroid ” into a malignant tumour is a subject of high pathological importance. The specimen now exhibited may throw some light upon the question. M. H—, aged 31, single, was admitted into the Samaritan Hos- pital, under the care of Mr. J. Knowsley Thornton, in January, 1890. The left side of the lower part of the abdomen was occupied by a soft, elastic, moveable tumour, which extended to the outer side of the right rectus muscle, to about one inch above the um- bilicus and far into the left loin. The uterus lay behind and somewhat to the left of the pelvic part of the tumour, with which it was closely connected. The catamenia had always been regular, except four years ago, when the tumour was first noticed. Then for six months the flow occurred at irregular intervals ; afterwards, till admission, the period became regular and was attended with pain. Mr. J. Malcolm, who first took notes of the case, could not trace any history of cancer. The patient stated that “father’s people had tumours.” Her father was killed by accident at the age of sixty-seven; her mother, aged sixty-one, was alive and healthy. None of her six brothers and sisters had tumours. Pour years before admission the patient suffered from severe pains in the left side of the abdomen, with irregular menstruation. Since then occasional attacks of pain occurred, the most severe taking place in December, 1889. During the first attack a lump was discovered in the left iliac fossa. A year later it caused dysuria, which entirely passed away. Recently this lump bad in- creased in size to a marked degree. There were no enlarged glands in the groin, nor elsewhere. The operation was performed on January 25th, 1890. Theabdo-