Identifier: clinicalsurgerye00bill (find matches)
Title: Clinical surgery. Extracts from the reports of surgical practice between the years 1860-1876. Translated from the original, and edited, with annotations, by C. T. Dent
Year: 1881 (1880s)
Authors: Billroth, Theodor, 1829-1894 Dent, C. T. (Clinton Thomas), 1850-1912
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Publisher: London
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive

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t palate, had been considered by everybody who saw it to be of a syphiliticnature. Antisyiihilitic remedies of various kinds had been employed, butwithout any success. I myself was forced to conclude that I had before mea rare form of syphilis. The patient was so strong, and the course of thedisease so gradual that the other alternative, viz. epithelial cancer, could notbe entertained. Professor Hebra, whom I consulted about the case, heldthat it was an epithelial cancer; in order to make sure, I removed a smallportion and examined it microscopically. It proved to be a cancer. We IOC EPITHELIOMA OF THE FACE AND JAW. ceased to torment him any longer with remedies, and he was discharged.Fourteen months later we heard that the unfortunate man was still alive,but in a deplorable condition. Finally the ulceration spread to a mosttenible extent (see Fig. 8), and he died six yeai-s and a half after the firstcommencement of the disease. Fig. 8.—Cabcikomatous Ulcekatiox of the Face and Jaws.
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This case is one of extreme rarity, since it forms an exception tothe rule, that cancers originating in the mouth develop rapidly.It is a form of carcinoma which seems somewhat analogous to thesuperficial cancer (ulcus-rodens) of the skin. It certainly graduallydestroys the bones, but very slowly, and is especially characterisedby very late infection of the lymphatic glands. I remember to haveseen five or six cases where superdcial epithelial cancer of the nose,the cheek, or the eyelids, lasted from ten to fifteen years, and finally CANCER OF THE FACE AND LIPS. 107 destroyed the whole of the upper jaw or the bones of the skull,without infiltrating the lymphatic glands. That such a form ofcancer ever began in the mouth was to me a new fact. All the cases observed at Ziirich were—with one exception—superficial ulcerated epithelial cancer. With regard to recurrence inthese cases, I should mention that this mostly occurred afterremoval of portions of the skin overlying bone. I could n

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