File:Interstate medical journal (1906) (14780739241).jpg

Identifier: interstatemedica1319unse (find matches)
Title: Interstate medical journal
Year: 1906 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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hic disturbances. Ernst reports several cases of nerve involvement. These can bebriefly described as follows: 1. Carcinoma of the esophagus in a 38-year-old woman in whichesophageal branches of the vagus contained tumor cells. 2. Italian woman. 44. Carcinoma of the uterus. Was removed andreturned. During life had considerable pain. Examination showed thepresence of cancer cells in the sacral plexus, in both the perineural andendoneural lymph spaces. 3. Man, 60. Recurrent carcinoma of the pancreas. Was accompaniedby severe pain. Numerous branches of the inferior gastric plexus werefound to contain epithelial cells in both peri and endoneural spaces. 4. Man. Prostatic carcinoma. Tumor cells found in a ganglion. 5. Man, 44. General carcinomatosis, with involvement of the vagus. 6. Woman, 60. Ulcerating carcinoma of the pylorus with involve-ment of the nerves in the stomach wall. *Read before the St. Louis Surgical Society. January 17, 1906 SECONDARY EPITHELIOMA OP THE AXILLARY NODES. 311
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Fig. 2.—A, nerve bundle showing infiltration of carcinoma cells. B, nests oftumor cells. C, uninvolved nerve bundles. 312 MITUD—MrCONNEM.. 7. Man. 59- I Icerating carcinoma «>t tlie esophagus, with tumorcells in the recurrent laryngeal. The involvement was so great as tocause paralysis. It might he that in some cases in which there were secondary growthsthe metastases may have taken place along the lymph spaces of thenerves. This would seem to present a new prohlem to the surgeons he-cause if removal of the lymph nodes were not sufficient it might be thatin some cases excision of the nerves would have to he resorted to. The case that we have to report is as follows: E. Q. Female, 70. Married. Family history, negative in regard totumors of any sort. She has always been well until the present trouble. About four years ago while scrubbing the floor she ran a splinter intothe palmar surface of her left hand at the junction of the first and sec-ond fingers. Xo trouble arose till ab

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