. St. Thomas's Hospital reports. ne of the scapula, about a walnut in size. This tumourslowly and painlessly increased until the Christmas of 1875,when it had reached the bulk of a large orange, the patientbeing able, notwithstanding, to do her work without incon-venience. Since then, however, the rate of increase has been veryrapid and attended by great pain, so that the patient wears amost anxious appearance, as is well seen in the woodcut (Fig. 1). On admission a rounded tumour, quite as big as a boyshead, was found to involve the whole scapula except the tips VOL. vii. 20 308 Notes of a Ca
. St. Thomas's Hospital reports. ne of the scapula, about a walnut in size. This tumourslowly and painlessly increased until the Christmas of 1875,when it had reached the bulk of a large orange, the patientbeing able, notwithstanding, to do her work without incon-venience. Since then, however, the rate of increase has been veryrapid and attended by great pain, so that the patient wears amost anxious appearance, as is well seen in the woodcut (Fig. 1). On admission a rounded tumour, quite as big as a boyshead, was found to involve the whole scapula except the tips VOL. vii. 20 308 Notes of a Case of Removal of the Scapula. of the acromion and coracoid processes. It bulged up intothe neck beneath the trapezius, hiy over the subclavianvessels, and filled the posterior half of the axilla, havingclearly invaded the sub-scapular fossa. The surface of thenew growth was covered by tensely stretched skin, whichwas adlierent to the more ])romincnt part of tlie tumour,and altered in colour. One or two enlarged lymphatic Fio. glands could be felt over the clavicle and in the the upper to the lower border, the tumour measuredtwelve inches. Tt moved on the thorax freely enough, andseemed perfectly circumscribed. The sense of fluctuation wasdistinct at several points, so much so, as to suggest the The two drawings, Figs. 1 and 2, copied most carcfiilly and accurately fromphotographs, represent the anterior and posterior aspects of the tumour. Notes of a Case of Removal of the Scapula. 309 presence of cysts, and everywhere the tumour felt very elastic,but more solid in some places than others. The movements ofthe shoulder-joint appeared to be but little interfered with. Two exploratory punctures were made, but blood onlyescaped through tlie canula each time, and pe7- sallum, showingthe extreme vascularity of the growth. Fig. 2.
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Keywords: ., book, bookcentury1800, bookidstthomasshospita07stth, bookyear1836
