Philosophical transactions, Vol. L. Part I. For the year 1757.: Giving some account of the present undertakings, studies, and labours, of the ingenious, in many considerable parts of the world.Various
History
Philosophical transactions, Vol. L. Part I. For the year 1757.: Giving some account of the present undertakings, studies, and labours, of the ingenious, in many considerable parts of the world.
Various
Science -- Periodicals
Perhaps it may not be improper to lay down the dimensions of these
tumors, as the case is so extraordinary; for the size of them is
almost incredible: but I made my drawing in the presence of several of
the gentlemen of that hospital, who allowed it to be very exact, and
precise in the expression of the parts, as well as in the dimensions.
The vertical tumor is about seven inches diameter at the basis, where
the bony edge is felt, mentioned before, and about four inches high
from that edge. From that edge, or the basis of the vertical tumor,
to the bottom of the great tumor, is ten inches; so that the length of
both, from the vertex to the end of the great one, is about 14 inches:
and upon viewing it, when he turns his side towards you, the whole
mass is eight or nine inches over all the way; hard at top, and flabby
downwards, hanging in kinds of plaits. From the eye to the opposite
outline of the great tumor is six inches; and lower down, from the
left corner of his mouth to the opposite outline of the same tumor,
eight inches. The upper small tumor, over the nose, is one inch three
quarters long by one inch and a half; the middle tumor is two inches
long from the _ala nasi_, to which it hangs, and of the same breadth;
and the lowest tumor, shaped like a goose’s egg, is four inches and a
half long by near three inches over.
This man is under the care of Mr. Crane, an eminent surgeon of St.
Bartholomew’s Hospital, who has just now taken off the lowest of
these three anterior tumors, and also the tumor mentioned, which hung
underneath to the under lid of his right eye. He intends proceeding to
take off that at the _ala nasi_ next, and so on till he takes away all
the smaller tumors first: afterwards the larger will be considered. The
substance of those cut off was intirely fat; nor was there the least
speck of blood in the lowest of the three smaller tumors; but there was
an hæmorrhage from a vessel divided in taking off that hanging to the
right eye-lid; which soon yielded to the methods he made use of, and
went on successfully till quite healed.
It is pity no one of the people of condition in the country, where
this poor man lived, took notice of him while he was a lad; because,
when the vertical tumor begun, or even after it had made some progress,
if he had been sent up to any of our hospitals, there would have been
no difficulty in curing him. This leads me to some precautions, which,
I hope, will render my account of the case of some use, considered in
a physiological light; which was my intention in thus laying it before
this learned Society.
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