The Surgical Clinics of Chicago Volume 3, No. 1 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1919 Excerpt: ...the actual cautery (Fig. 34, 2). In this way the bleeding is completely controlled. I am inserting a light gauze packing and will close the abdomen Fig. 34.--1. Indicates clinically the location, size, and contour of the tumor, and its relation to the liver. 2. Shows the pedicle after being ligated and tumor removed. 2a. Diagram illustrating the placing of the suture about the loops of the catheter to prevent their cutting into the liver tissue. as quickly as possible, so as to subject the child to the least possible shock. After-histoiy.--The patient rapidly recovered from the effects of the short anesthetic. The operation was performed about 7.00 p. M., and by 9.00 p. M. the pulse was 170. However, she soon became restless, and in spite of our efforts the temperature went up rapidly, the pulse became weaker and slower, and she died about seven hours after operation. No autopsy was permitted. The mass removed at operation was examined by Dr. W. H. Burmeister, who reported it to be a small round-celled sarcoma (lymphosarcoma) of the liver, with complete destruction of all the liver tissue with the exception of the bile-ducts. While we are not justified in claiming that this was a primary sarcoma of the liver, it is logical to suppose that if there were a.primary focus elsewhere, it would have manifested itself. With no lung findings and an absence of any other abdominal involvement or any superficial evidence of tumor, it seems likely that the tumor mass very probably had its origin in the liver. Had we been permitted to hold an autopsy the question would have been definitely settled. SARCOMA OF TESTICLE, WITH METASTASES IN THE LUNG SIMULATING TUBERCULOSIS In connection with this case I wish to cite another one of sarcoma, which came under my observation on...