File:Irish journal of medical science (1832) (14774578235).jpg

Identifier: s2irishjournalof38roya (find matches)
Title: Irish journal of medical science
Year: 1832 (1830s)
Authors: Royal Academy of Medicine in Ireland
Subjects: Medicine
Publisher: (Dublin)
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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. 429 somcwhjit periodic charac-ter. The catamenia hadnot yet been established. It was not without veryconsidorabU^ doubt andhesitation that the remo-val of the tumour wasdecided upon ; its rapidgrowth, situation, andfixity; the state of theinteguments and super-ficial veins — all contra-indicated operative in-terference. Encouraged,however, by his colleagues,and strongly urged by thepatient herself. Dr. Flem-ing determined upon per-forming the operation.Every step presentedditficulties ; the superfi-cial and deep connexionsof the tumour were sointimate as to require themost careful dissection;it adhered to the severalmuscles about the angleof the jaw, and was soadherent to the parotidthat a portion of thisgland was sliced off, andits duct divided. Thesheath of the commoncarotid artery was ex-posed a short distancefrom the bifurcation ofthe vessel. Much collapse followedthe operation; the case,however, proceeded fa-vourably, and in fiveweeks the girl returnedto the country, with the
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430 Reports of the Dublin Patholotjicat Society, wound almost perfectly cicatrized, paralysis of the side of the face, how-ever, being present. Upon examination, the tumour was found to consist of a solid miws,presenting to the hand, when passed over its surface, numerous snuillrounded elevations, resembling duck-shot. The entire tumour comnm-nicated to the touch a feeling of elasticity. It was not surrounded by adistinct cyst, but was enveloped by a mass of condensed cellular tissue,which adhered rather closely to it. Its section presented the character ofa tibro-cystic growth, the librous elements preponderating, and formingthroughout the tumour, numerous bands of variable length and con-sistence, crossing each other in every direction, the interspaces beingfilled by small cysts of different forms, some being spheroidal, flthersflattened, and all containing a darkish yellow fhiid, tinged with blood. It was evident, from the examination of the tumour, that the entire ofit had been re

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