Sarcoma of the orbit : report of a case cured by the x-ray / by L. Webster Fox.

  • Fox, L. Webster (Lawrence Webster), 1853-1931.
Date:
[1904?]
Catalogue details

Licence: In copyright

Credit: Sarcoma of the orbit : report of a case cured by the x-ray / by L. Webster Fox. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    ture into the left antrum preliminary to the more serious opera- tion of opening the orbit and destroying the ethmoid cells should they prove to be filled with pus. However, the exploratory punc- ture yielded negative results. In this connection it should be stated that by transillumination the tissues over the left antrum were thicker than those of the right. At any rate, the left antrum was entered only after passing through bone of greater density and thickness than usually encountered in the wall of an antrum of normal size. After the exploratory puncture of the antrum had yielded nega- tive results, Dr. Gleason made the usual incision through the skin at the inner canthus and elevated the periosteum over the anterior and middle ethmoid cells. In this locality a consider- able amount of yellow glairy fluid escaped from the wound, evi- dently originating in diseased ethmoid cells, but no pus was found back of the eyeball, only infiltration of connective tissue. Al- though the diagnosis of a malignant orbital growth was rendered probable as the result of the incision, it was decided to establish free drainage into the nose by curetting away the diseased ethmoid cells. This was accordingly done, and the wound packed with iodoform gauze, which was removed daily and the wound cleansed by syringing through it into the nose. The result of the opera- tion was an entire cessation of the pain from which the patient had previously suffered, but there was little or no diminution in the size of the swollen eyelids nor of the exophthalmus. At the end of the week or ten days the wound was allowed to close. Soon afterwards, four or five days, a mass of granulations showed themselves in the wound, which were removed, together with a small section of skin and muscular tissue, and sent to Dr. Harold G. Goldberg for microscopical examination. The follow- is his report : Clinical Diagnosis.—Sarcoma of the orbit (?). Pathological Diagnosis.—Spindle-cell sarcoma. Specimen skin from upper-inner angle of the orbit. Date received, 6/4/03; date reported, 6/16/03. PATHOLOGICAL REPORT. Stains.—H?ematoxylin-eosin and Van Giesen's. Microscopy.—Tissues very vascular and densely infiltrated with polynuclear leucocytes, partially obscuring the sarcoma ele-