The Treatment of certain malignant growths by excision of the external carotids

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. 1903 Excerpt: ...in the next few months, but there was no improvement and his later history is unknown." 1 Cases XLI, XLII, and XLIV are quoted from a report to the essayist by Prof. John C. Munro, of Boston. Case XLII. Epidermoid Cancer of the Lower Jaw. (Case of Dr. John C. Munro.) "Male, at. 49. Disease of six months' duration. Boston City Hospital. "August 20, 1901. Excision of left carotid and all branches by myself. "August 28th. Similar operation on right by Dr. J. T. Bottomley. "September 4th. Discharged to Out-patient Department in poor general condition. Later history unknown." Case XLIII. Carcinoma of the Tongue. (Case of Dr. Alexander B. Johnson, of New York.) Patient, Felix Lavelle, at. 44. Family history negative. Patient had a chancre two years ago, followed by mild secondary symptoms of syphilis. Does not smoke, and has used no alcohol for three years. Present history: Trouble began four months ago with small ulcer upon the side of the tongue (which side not stated). This finally healed; but meanwhile the entire tongue became enlarged, its motions were limited as it became bound down, and it is very painful. Patient has lost flesh and strength. The past four months he has devoted to antisyphilitic treatment, but the tongue has grown worse steadily. During the past few weeks the glands in the neck--upon the affected side chiefly--have become swollen. Tongue is now found fixed and infiltrated, and the cancerous growth within it extends backward to the epiglottis, and it is ulcerated over the left base. Operation, September 5, 1901. Dr. Johnson, using gas and ether anaesthesia, made a sufficient incision in the neck upon the left to remove enlarged gland for pathologist's examination. Upon September 8th he performed upon the patien...