. Annals of surgery . thsarcoma of the oesoph-agus. The apparentrarity of sarcoma mayhe due in part to alack of careful histo-logical study ofcesophageal there nia\-lie no diflference insymptomatology i)e-tween sarcoma amicarcinoma of theoesophagus, and theannular, ulceratingtypes of sarcoma canonly be differentiate!pathologically by mi-croscopic examination. To the previouslyreported cases we are able to add another. Fig. i.—Showim; ; , , .^ .main the ccsophagus. that of a polypoid, spindle-cell fibrosarcoma of the lower end of the oesophagus. The patient, a Scaiidaiiavian f
. Annals of surgery . thsarcoma of the oesoph-agus. The apparentrarity of sarcoma mayhe due in part to alack of careful histo-logical study ofcesophageal there nia\-lie no diflference insymptomatology i)e-tween sarcoma amicarcinoma of theoesophagus, and theannular, ulceratingtypes of sarcoma canonly be differentiate!pathologically by mi-croscopic examination. To the previouslyreported cases we are able to add another. Fig. i.—Showim; ; , , .^ .main the ccsophagus. that of a polypoid, spindle-cell fibrosarcoma of the lower end of the oesophagus. The patient, a Scaiidaiiavian farmer, thirty years of age, was referred to Brunn by Doctor Gross of Eureka because of difficulty in swallowingand vomiting. Past History is essentially negative. There was an injury to the rightflank four years ago followed by continued bleeding from the right kidney.•From the Surgical Service of Ur. Harold Brunn and the Department of Path-ology, University of California Medical School and ^^ SMITH AND RUSK This was relieved later by some operative procedure on the kidney. This traumahad no relation to the present condition. Present Illness.—Eleven months before death the patient began to havedifficulty in swallowing with regurgitation of solid food. When the bolus offood was swallowed it seemed to meet obstruction in the lower part of the cesopliagus. He hasnever had pain. Therehas been no hsemate-mesis, but at times hevomited pieces ofmeat-hke of necrotict u m o r tissue. Thesymptoms grew pro-gressively worse.\oniiting was sponta-neous without directrelation to eating. HeInst thirty pounds inweiglit. He was firstseen at the hospitalsix months afterthe first symptomsappeared. Physical at this timewas essentially nega-tive. The patient wasvery tall and Wassermann,urine and blood ex-aminations were nega-tive except for a slightleucocytosis. Fluoro-scopic examination byDr. Lloyd Bryanshowed an obstruction
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
