To Valentine Mott, M.D., alike distinguished for urbanity and science, this case of osteo sarcoma is presented / by his obliged pupil E.H. Dixon.

  • Dixon, Edward H., 1808-1880.
Date:
1838
Catalogue details

Licence: Public Domain Mark

Credit: To Valentine Mott, M.D., alike distinguished for urbanity and science, this case of osteo sarcoma is presented / by his obliged pupil E.H. Dixon. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    painfully questioned by the father of the patient with whom 1 had been acquainted fourteen years, I gave my unqualified assurance that an operation was still practicable, though more difficult than on my first examination, and afforded his only hope of life; the late Dr. Bush, my former preceptor, at my suggestion, was now consulted, and coincided with me in opi- nion ; he was willing to operate. This second opinion being very unsatisfactory to the patient, 1 was not again questioned on the subject for several months, during all of which time he was under Homoeopathic treatment. As near as my recollection serves, about a year since I was again desired to examine the tumour. Jt had now attained a fearful magnitude, being from its upper verge, which did not extend above Poupart's liga- ment, at least twelve inches in its long diameter, which still advanced over and in a line with the ramus Jschii, one-third of the way down the thigh, and backwards as far as the Tuber Ischii; indeed when sitting erect, the patient sat partially on the tumour, the legs could not be approximated, the thigh ro- tating over the tumour; the purine was now occasionally passed with slowness, though defecation was unimpeded, pro- gression shuffling and painful, pain down the thigh from pres- sure on the obturator nerve, iemoral artery slightly displaced and labouring in its pulsations, occasional vertigo, (from this cause as I conceived,) especially after excess in eating or exer- cise, hollow sound on percussion, this I had long expected as its rapid growth precluded the likelihood of its solidity ; still in- compressible, thought to be slightly moveable, which 1 con- ceived if so, to be owing to elongation of the symphisis which could not now be felt on this side, penis pushed beyond the median line to the left, examination per anum at this time gave no assurance of increase within the pelvis,* several large *Though'no enlargement was apparent at this time, the post mortem reveal ed disease to a considerable extent within the pelvis.