A table of over fifty complete cases of primary cancer of the Fallopian tubes / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
[1904]
Catalogue details

Licence: In copyright

Credit: A table of over fifty complete cases of primary cancer of the Fallopian tubes / 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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    ovary in relation to tlie tube is that the new-growth rarely invades the tube; it is the serous coat of tbe tube which is the first to become infected, whilst primary tubal cancer begins on the mucous membrane. Many clinical symptoms of interest will be found inscribed in these tables. I have already turned attention to the homology of No. 37 to Spencer Wells’s case of innocent papilloma, the abdominal ostium being open in both, and ascites developing. A similar homology exists between No. 39 and Doleris’s case of innocent papilloma, the uterine orifice being open in both so that quantities of watery fluid escaped from the vagina—hydrops tubse profluens in fact. Thirdly, Witthauer’s case (No. 33) is an instance of closure of both ends of the tube, so that there was no sanious discharge, yet let it be remembered that the dilated cancerous tubes contained much bloody fluid. In examining Thornton’s case (No. 2) I found much bloody serum and clot, but as the uterine end of the tube was patent there was sanious vaginal discharge. These cases are object lessons explaining the variation of symptoms so evident in the tables. But, as I noted many years ago, sanious discharge is a cardinal symptom of high value in diagnosis, whilst the reason why it may be absent is made clear by No. 33. As for age, in Nos. 11, 13, 28, 35 (age 70, the oldest case) 38 and 52, the evidence that the cancer developed in an old hydrosalpinx or otherwise diseased tube seems strong. The association of an attack of typhoid fever with the development of cancer in No. 38 is of much interest. Only four cases (Nos. 4, 21, 29 and 32) were under forty years of age. These tables distinctly indicate that primary cancer of the tube usually occurs near the menopause—whether before or after. The last three cases (51 to 63) are the most doubtful in the rrhole series. I have analysed them elsewhere. Probably the “ cyst ” was lea ly the outer part of the dilated tube, as the narrower pai-t of a m ir n’r P“‘ion is not rarely taken 101 tne abdominal ostium. treaffT satis, ''^:TeZ:r„, iirfb uterus ami ^ ^ unsurgical. The tut a^l the * “Itould be taken away with the mass in the tube wa ' ggesting that the papillomatous the tube was really innocent. Associated with several other