A case of myoma multiplex of the skin / by H. Radcliffe Crocker.

  • Crocker, H. Radcliffe (Henry Radcliffe), 1845-1909.
Date:
[1897?]
Catalogue details

Licence: Public Domain Mark

Credit: A case of myoma multiplex of the skin / by H. Radcliffe Crocker. 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.

    10/22 (page 6)
    contracted. The veins were dilated, some of them surrounded by a feeble lymphatic infiltration. There were no nerves in the tumour itself, but they were present in the peripheral parts. Case Y.—Hardaway, American Journal of the Medical Sciences, April, 1886, p. 511.—A pedler, set. 86 years, dated his complaint one year before he came under observation. He first experienced a drawing pain on the right side of his back whenever there was any change of temperature, it lasted about five minutes, and there was then nothing abnormal. The pains came in paroxysms at varying intervals of two or four days, or two or three weeks. Pressure did not excite the pain at first. After a time a few lesions appeared at the seat of pain and gradually increased in number, but owing to their position he could not be very definite in his statement, but believed that there had not been much change during the six months before Hardaway saw him. He found him a strong, healthy man, who had had no previous illness, but was much exposed to weather vicissi- tudes in his occupation. The neuralgic pains not only persisted, but the paroxysms became more frequent and severe, but chiefly nocturnal and largely dependent on the weather. They came on quite suddenly, but only lasted two or three minutes. They were localized to the tumour area, were relieved somewhat by strong pressure, and did not recur the same night, but were most agonizing while they lasted. In the intervals, the skin was not tender to slight pressure, but moderate deep pressure over the larger tubercles made him drop to the floor in momentary agony. Pressure on the smaller tubercles only gave slight pain. The tumours formed a patch on the right back, just below the scapula, sloping from the spine downwards on the rib lines. It was 41 inches long and 2^ inches wide. Two small tubercles were on the left side of the spine, and a few on the lower end of the scapula. The patch as a whole was of a reddish colour, and made up of an aggregation of tumours and infiltrations of various sizes, the largest being the size of hazel-nuts and not unlike flesh moles, and covered and sessile ; the smaller ones were vei-y slightly elongated and spindle-shaped, or arranged in lines and streaks. They were freely movable and the skin over them was normal. One of the large ones was excised, and Dr. Bremer who examined it reported that it was situated chiefly below the derma, and was composed of interlacing bundles of smooth muscular fibres apparently derived from the muscular coat of the arteries and veins judging from the condition of the muscular coat of the vessels adjoining the growths ; neither vessels nor nerves were found in the tumours themselves. Case YI.—Karl Hess, Virchow's Archiv., Band CXX., 1890, p. 321.—An unmarried woman, set 19, was under the care of Professor Czerny. She had what she called “warts” on the nose from the age of three or four years, which had gradually increased in size. They had been cauterized eight years before in Munich, but with very little improvement. They were never painful. The so-called “ warts ” were composed of closely-aggregated large hemp-seed-sized nodules on the end of the nose, and less closely set on the right side of the nose. They were in the cutis, the epidermis being slightly raised over them, but intact. They were of a yellowish-white colour, somewhat translucent, and felt hard. There were traces of an increased number of blood-vessels in the neighbourhood of the growths. The diseased area was removed by Czerny, and examined by Hess. The por- tions of skin removed were 20 mm. and 16 mm. in length respectively, and