Injuries and diseases of the jaws . formed so many attachments to the periosteumof the bones forming the base of the skull, that the operatorwas compelled to leave some of the disease behind. By the end of November, 1859, the tumour had againgrown to a large size, and from the space it occupied in hermouth interfered much with her taking nourishment. It nowbegan to soften and to ulcerate on its suiface, both externallyand within the mouth, and occasionally very alarminghaemorrhages would take place, so as to threaten imme-diate dissolution, but from all these she rallied ; within themouth larg
Injuries and diseases of the jaws . formed so many attachments to the periosteumof the bones forming the base of the skull, that the operatorwas compelled to leave some of the disease behind. By the end of November, 1859, the tumour had againgrown to a large size, and from the space it occupied in hermouth interfered much with her taking nourishment. It nowbegan to soften and to ulcerate on its suiface, both externallyand within the mouth, and occasionally very alarminghaemorrhages would take place, so as to threaten imme-diate dissolution, but from all these she rallied ; within themouth large sloughs would occasionally separate, allowingher to recruit her health by enabling her to take additionalnourishment. She died early in 1860, worn out and greatly RECURRENT FIBROID TUxMOURS. 291 emaciated. The drawing (fig. 135), for which I am indebtedto Mr. Lawson, shows the terrible deformity as seen afterdeath. The preparation is in the Museum of the Collegeof Surgeons (1052 A). (See Pathological Transactions, xi.) Fig. In Mr. Lawsons case, repeated careful examinations ofthe tumour showed it to be of the recurrent fibroid cha-racter, and the rough and thickened condition of the pei*i-osteum covering the portion of bone which was removed,showed clearly the site from which the tumour grew. case, which is remarkably similar in all essential u 3 292 TUMOURS OF THE LOWER JAW. points, is reported as one of malignant disease; but frompersonal observation, I believe it to have been an exampleof recurrent fibroid disease, rather than any form of truecancer. The two cases are as nearly alike as tbey couldpossibly be, and were doubtless of the same nature. The treatment of this form of disease must be unsatis-factory. The tendency to invade the tissues continuouswith and contiguous to the original seat of the disease, ren-ders any operative interference of doubtful utility. Stillthe only hope for the patient is complete extirpation of thedisease at an early period, a
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