Virginia medical semi-monthly . patient was operated upon by me three dayssubsequent to examination. In the specimen before you there is no evi-dences of pus in the tube, the tissue between the latter and the ovary being entirely intact, al-though the tube is greatly enlarged, broad andadherent. The removal of this combined masswas by no means an easy matter, as localizedperitonitis, resulting in deposits of fibrin andadhesions is always associated with suppurativestreptococcus infection of the ovary, the latterbeing bound down to surrounding organs so thatits liberation becomes most difficult
Virginia medical semi-monthly . patient was operated upon by me three dayssubsequent to examination. In the specimen before you there is no evi-dences of pus in the tube, the tissue between the latter and the ovary being entirely intact, al-though the tube is greatly enlarged, broad andadherent. The removal of this combined masswas by no means an easy matter, as localizedperitonitis, resulting in deposits of fibrin andadhesions is always associated with suppurativestreptococcus infection of the ovary, the latterbeing bound down to surrounding organs so thatits liberation becomes most difficult. The pa-tient made an uneventful recovery. Abscess of the ovary invariably calls for itscomplete sacrifice, whether it be of simple or ofmultiple pus foci, though in the latter instancethere is coexistent pyosalpingitis. The second specimen to which I desire to callyour attention is one of sarcoma of the Mrs. W., aged 64 years, first noticed a smalllump within the left breast in December, development was gradual until September,1903, since which time, up to the following No-vember, the growth increased rapidly in size. At the time of operation, November 16th, ithad reached the size of an orange, occupyingthe outer portion of the breast, and was closelyadherent to a portion of the skin, which was ofof a dark hue at this point. There was no re-traction of the nipple nor was there any enlarge-ment of the axillary glands. Pain was not amarked feature at any time. From the foregoing history my opinion wasthat the growth was malignant in character, of 84 THE VIRGINIA MEDICAL SEMI-MONTHLY. [May 27, a sarcomatous instead of a cancerous nature,and an immediate operation was advised, towhich she readily consented. The entire breast, enclosing the growth, wasremoved and the wound closed with silkwormgut suture, a small counter-opening being madeat the dependent axillary end, for tempora
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