摘要:

Summary1. the difficulties of treatment of carcinomata of the laryngo‐pharynx and cervical2. reference is made to some misconceptions about treatment and the place of radio therapy and surgery.3. brief reference is made to pathology, symptomatology and diagnosis.4. operative treatment is illustrated by methods employed in a personal series of 25 cases, averaging 62 years. 20 major excision operations were carried out, and numerous secondary precedures mainly associated with reconstruction of an artificial pharynx. there was one late post‐operative death.5. operative methods are discussed, and some account is given of operative resu

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb05489.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

摘要:

Summaryepithelium‐lined spaces are found in the wall of the gall‐bladder and often in the sub‐peritoneal coat.these are of three distinct types which have different origins:(a) sinuses communicating with the lumen of the gall‐bladder;(b) ducts communicating with intra‐hepatic ducts but not with the gall‐bladder;(c) sub‐peritoneal glands of mesothelial origin.the sinuses (rokitansky‐aschoff sinuses or cholecystitis glandularis) have a wide field of macroscopic form ranging from those in which the organ is relatively normal and there are only a few crypts to various localized or diffuse thickenings of the wall. they are important because of various complications such as cyst formation and devdoprnent of intra‐mural calculi. rupture of sub‐peritoneal cysts may give rise to choleperitoneum.the ducts, commonly seen on the hepatic aspect of the organ, may occur in the sub‐peritoneal zone. they never communicate with the lumen of the gall‐bladder and they have a characteristic histological structure.the mesothelial glands also have a characteristically different histological structure and are of importance mainly in so far as they have to be distinguished from the othe

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb05490.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

摘要:

Summary(1) macroscopically, paget's disease of the nipple may present a variable picture. in the majority of cases the lesion is red, raw and granular in appearance, but in others, it may be eczematous or dry andscaling. paget's disease should be suspected when any nipple lesion persists for more thanthree to four weeks.(4) microscopically characteristic changes are seen. typical paget cells occur around the edge of the lesion, whilst centrally the superficial layers of the epidermis may be lost.(5) carcinoma is present in the underlying breast in 75 per cent. of cases when first seen.(6) in those cases without a palpable tumour, treatment should be as for carcinoma of the breast.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb05491.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

摘要:

Summarywhat is believed to be a rare variety of congenital oesophageal abnormality is described and a case history given. there was a fistula between trachea and oesophagus, no oesophageal atresia, and a large posterior oesophageal pouch. surgical correction gave a good result.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb05492.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

摘要:

Summarythree patients who had carotid body tumours subjected to surgery are described, including a patient with bilateral tumours. in no case were any carotid vessels ligated, yet death occurred in a patient who had a unilateral tumour removed.post‐operative investigations, performed on the patient who had had bilateral tumours, involving a variation in the percentage of oxygen in the inspired air, provide suggestive evidence in favour of the hypothesis that anoxaemia with a subnormal okygen tension is the stimulus to the carotid bodies.the histology of the tumours is examined and similarities to the glomus tumour noted. their general structure indicates that they are hyperplasias; the tumour is extensively, if irregularly, innervated and many club‐shaped nerve endings can be demonstrated. the “tumour” is therefore probably a functioning tissue.diagnosis and treatment are briefly discussed, early surgery being the treatment of choice, whilst angiography may help in diagnosis.the literature of bilateral carotid bodies is briefly reviewed.the percentage of malignant carotid body tumours is considered to be neg

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb05493.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

摘要:

Summarya series of 9 cases of giant fibroadenoma of the breast has been presented to illustratethe features of a somewhat uncommon but none the less interesting condition. there is a typical clinical picture and, if one is ntocompletely overawed by the size and appearance of the tumour on first inspection, in the majority of cases the patient can be treated quite effectively by relatively simple means. however, it should be remembered that there is a small proportion of these tumours which is malignant.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb05494.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb05495.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

摘要:

Summary(1) a case is recorded in which a hydatid cyst of the liver was extruded intact from its fibrous adventitia and, at autopsy, was found loose in the pelvis.(2) the mechanisms of rupture and subsequent survival of the cyst are discussed and compared with those of cysts in which complete rupture of the wall with escape of contents occurs.(3) the absence of hydatid fluid leakage from an intact cyst will greatly modify the prognosis.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb05496.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb05497.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

摘要:

Book reviewed in this article:A SYNOPSIS OF OPHTHALMOLOGY. By J. L. C. MARTIN‐DOYLE, M.R.C.S., L.R.C.P., D.O.ESSENTIALS OF NEUROSURGERY. By LESLIE C. OLIVER, F.R.C.S.THE QUIET ART. A Doctor's Anthology. Compiled by Dr. ROBERT COOPE.THE LIFE AND WORK OF ASTLEY COOPER. By R. C. BROCK, M.S., F.R.C.S., F.A.C.S.DISEASES OF THE NOSE, THROAT AND EAR. By I. SIMSON HALL, M.B., Ch.B., F.R.C.P.E., F.R.C.S.E.CLINICAL RADIOLOGY OF THE EAR, NOSE AND THROAT. By ERIC SAMUEL.PATHOLOGY OF THE CELL. By C. R. CAMERON, M.B., D.Sc., F.R.C.P., F.R.S.WILLIAM SMELLIE, THE MASTER OF BRITISH MID‐WIFERY. By R. W. JOHNSTONE, C.B.E., M.A., M.D., Hon.LL.D.THE ENGLISH PIONEERS OF ANAESTHESIA. By F. F. CARTWRIGHT.AN INTRODUCTION TO ABDOMINAL DIAGNOSIS. By ALAN E. LEE.CANCER OF THE BREAST‐A REVIEW. By D. W. SMITHERS, M.D., M.R.C.P., D.M.R.; P.RIGBY‐JONES, M.B., D.M.R.; D. A. G. GALTON, M.B., B.Chir.; P. M. PAYN

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb05498.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY