On follicular disease of the scalp / by James F. Goodhart.

  • Goodhart, James Frederic, 1845-1916.
Date:
[1870]
Catalogue details

Licence: Public Domain Mark

Credit: On follicular disease of the scalp / by James F. Goodhart. 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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    presented by Mr. Poland in 1870. The second case was also primarily under that gentleman's care, and latterly under that of my friend Mr. Davies-CoUey, to whose kindness I am indebted for permission to make use of the latter part of the case. The report of Case 1 runs thus : Tumour on the Scalp ? sebaceous.—Edward W—, set. 56, a publican, was admitted under Mr. Poland, January 12th, 1 870. His mother had a small sebaceous tumour on her head, Avhich burst, and soon afterwards healed up. No history of tumour of any kind except this in the family. Twenty-five years ago a little lump appeared on the back part of the top of the head, on the right side. Until a year ago this was only the size of a walnut; since then it has been increasing, accompanied by shooting pains, which come on at intervals. On admission.—He has a large tumour, the size of a man's closed fist, on the top of the right side of the head. It has two encrusted lumps upon it, and resembles a large sebaceous tumour. There is no enlargement of the cervical glands. Sub- sequently, during a fit of coughing, the tumour ruptured, and bled a good deal. He passes a good deal of albumen in his urine. After its removal, which was accomplished by the electric cautery ^craseur, the tumour did not present the appearance of an ordinary sebaceous tumour. It had no soft cheesy contents, and to the unaided eye the section looked like a compoujid gland, and in one or two places blood was effused into its sub- stance. A fresh section, under a quarter of an inch, showed squamous epithelial cells, as well as elongated and branching ones; some very fine fibres were also seen. Not to give a detailed report of the patient further, he went on well but for an attack of erysipelas, after which some pieces of bone were removed from the cranium, and he left the hospital with the wound healing on August 15th, 1870. The tumour first attracted my attention on the shelves of the Hunterian Museum by the glandular appearance of the section, as described in the report above. The following is a more minute description of its general and microscopical ap|»carances: The growth is enclosed in a fibrous-looking c^ipsule, which sends off prolongations into the substance of the tumour. These,