Primary cancer of the Fallopian tube : with a second series of tables of reported cases (no. 63 to no. 100) / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1910
Catalogue details

Licence: In copyright

Credit: Primary cancer of the Fallopian tube : with a second series of tables of reported cases (no. 63 to no. 100) / 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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    table, makes a mortality of 6 per cent., but it is not certain that one or two more, where no statement of the result of the operation was published, recovered. Taken as a whole, the after-histories are, on the other hand, unsatisfactory, as might be expected in a disease not easy to diagnose. Yet, as these tables show, primary cancer of the Fallopian tube is clearly not a malady of extreme rarity. As in at least 27 per cent, of all cases distinct and more or dess free watery discharge was present, it is clear that when that symptom is found to be associated with a pelvic or abdomino-pelvic tumour, that an exploratory operation should be performed, and that if a tumour of the tube is detected the uterus and the remaining appendages should be removed as well as the affected tube. Addendum. Since the present table was completed and the appended analysis prepared, I have received the original report of the following case. It has been referred to, without any details, by some recent German authorities, and I have not found an abstract of the case in anv British or foreign medical work or newspaper. I therefore add the case to those tabulated, as chronologically it is older than several others in the table, and, besides, it is well reported by the author, who also adds drawings to his thesis. (Z. Dandelski, “ Primares Tubencarcinom,” Inaug. Dissert., Wurzburg, 1907). The patient was a married woman, aged 64 (sic). The periods had been normal; the date of the menopause is not given. At the age of forty she aborted at the sixth month, and two years later she was delivered normally of a child at term. The puerperium was uncomplicated. At the age of forty the patient had an attack of some inflammatory affection. Three years later she was troubled with severe pain in the right side of the abdomen and sacro-pelvic region, which had lasted two months when she consulted Dandelski. lie could define a tumour of the size of a fist in Douglas’s pouch and the right fornix, and a small mass as big as a hen’s egg in the left fornix. The patient was kept under observation for over a year. In the meantime a kind of catamenial period seems to have set in; there were attacks of pain and frequent vomiting, without emaciation or haemorrhages. The pelvic swellings do not appear to have increased greatly in size. Dandelski* operated on June 25, 1906. The outer part of the right tube was dilated into a big cyst, torn during separation from deep pelvic adhesions. A quantity of yellow serum escaped, and it was found full of a medullary papillomatous mass. It was amputated, and as on inspection the left tube was * Or Professor Hofmeier. It is not quite clear who was the operator. No hospital and no names are mentioned in the report, but the author thanks Prof. Hofmeier, at the end of the thesis, for assisting him in his labours.