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Since the remarks at page 678 were written, we have been informed that Dr. SHARPEY has been elected. It is an unfortunate affair.
688
mach ; the
mesenteric veins
were
to four or five times their natural
enlargedI cinating pain.
The
encephaloid
tumour
occasionally might appear like a collection nine of thfof matter, but if opened under that impres-
size,
ane!
gorged with blood; eight or mesenteric glands were enlarged, and con- sion, the patient became much worse. In the present instance, the case at first tained a white granular substance, which was pronounced to be tuberculous, thetppeard to be one of periostitis, with a largest gland was situated over the aorta,, small collection of fluid under the membrane, which was not dilated. The small intestines, He (Dr. E.) did not feel himself justified He had were intus-suscepted in two places; the in-in then thinking it anything else. ferior, situated about eighteen inches fromseen such collections in other portions of the the ileo-coecal valve; the superior, aboutpcriosteum, which gave way under the local three feet above the other; the mucousapplication of the tincture of iodine. In membrane appeared healthy ; nothing parti-. this. instance the hydriodate of potash and cular was found in the liver. Thorax.- iodine appeared at first to act ben ficially, The tumour was found to occupy the whole the tumour being evidently less after their of the mediastinum, and the right side of the employmeut; but the true character of thorax, extending quite up to the neck ; the disease began to be shown, and the posteriorly, it extended to the spine; the tumour increased in size, in spite of the He had never vena cava superior was found completely large doses of iodine given. obliterated, not the slightest trace of it being seen a case of inflammation of the periosperceptible, so that the direct communica- teum of the sternum which did not yield to tion between the thoracic duct and the heart the treatment employed in this case, and The great emaciation when he found that fail, he suspected the was entirely cut off. evident in the patient was, perhaps, attri- case was encephaloid. The disease had butable to this fact. The thoracic viscera another peculiarity besides that of attackwere found completely adherent to one ano- ing persons in the middle period of life, ther, so that they appeared an irregular solid which was, the rapidity with which it inmass, and it was found impossible to detach creased. No other kind of disease increased them without the scalpel. Dr. CARSWELL so rapidly. This case afforded a good inconsidered it to be a most perfect specimen stance of the powerlessness of iodine in of encephaloid carcinoma. The tumour is malignant disease. He considered it propreserved in the Museum of the University. bable that the disease, in this case, had commenced internally. In lecturing on this case Dr. ELLIOTSOK observed, that the encephaloid was the most Since the remarks at page 678 were writmalignant disease to which the body is liable. He had never known an instance in ten, we have been informed that Dr. SHARPEY which any operation, even though the whole has been elected. It is an unfortunate affair. of the diseased mass, or the limb to which To the Editor.—SIR:—Can some of your it was attached, was removed, had sucreaders give the history of Messrs. Smith ceeded in preventing the disease from re- and Hulbert, who exhibited at Newington turning in some other part of the body, and on Monday last They would. by so doing, the The disease patient. quickly destroying confer a great favour upon the medical pracwas characterized by the formation of a tioners of this neighbourhood. It is reportThe cause of the brain-like substance. ed that Mr. S., in consequence of his selfau’ection was not known ; and though somedispensaries," has driven one or degrading times the disease was seen in persons whose ’i two medical men from his district. Mr. ancestors had suflered from it, this was by Hulbert a perfect stranger is, personally, It ocno means the case in all instances. here. Indeed, I believe he has only been a curred in various structures ; sometimes on few weeks in the Borough. He appears to in the of sometimes inside a vein surfaces, be a sort of protégé of Mr. Smith, or perhaps or a bronchial tube. It had been called he is a missionary sent by the Poor-Law " but that was an immedullary sarcoma,"
proper term; the matter
certainly
was
not
medullary. The disease most frequently occurred in persons who had not passed the middle period of life, while schirrus generally attacked individuals who had passed that age. The encephaloid disease was often, too, met with in children, but it was most common in persons of about the age of this patient, 33. It sometimes attacked the eye, and sometimes the extremities. The disease was not attended with much pain, except from a sensation of distention; whereas
schirrus
was
characterized
by
a
sharp
Commissioners. Yours, respectfully,
CHIRURGUS.
August 11,
1836.
We have just
received, from Dr. O’Beirne
of Dublin, a communication entitled An Abstract of Original Views on the Functions and Diseases of the Intestinal Canal, with an examination of objections urged against them, and a further report of their successful application. Read at the British Association in August, 1835." As the memoir would occupy nearly thirty pages of THE LANCET, we must take a little time to lan- reflect on the request for its insertion.
mach ; the
mesenteric veins
were
to four or five times their natural
enlargedI cinating pain.
The
encephaloid
tumour
occasionally might appear like a collection nine of thfof matter, but if opened under that impres-
size,
ane!
gorged with blood; eight or mesenteric glands were enlarged, and con- sion, the patient became much worse. In the present instance, the case at first tained a white granular substance, which was pronounced to be tuberculous, thetppeard to be one of periostitis, with a largest gland was situated over the aorta,, small collection of fluid under the membrane, which was not dilated. The small intestines, He (Dr. E.) did not feel himself justified He had were intus-suscepted in two places; the in-in then thinking it anything else. ferior, situated about eighteen inches fromseen such collections in other portions of the the ileo-coecal valve; the superior, aboutpcriosteum, which gave way under the local three feet above the other; the mucousapplication of the tincture of iodine. In membrane appeared healthy ; nothing parti-. this. instance the hydriodate of potash and cular was found in the liver. Thorax.- iodine appeared at first to act ben ficially, The tumour was found to occupy the whole the tumour being evidently less after their of the mediastinum, and the right side of the employmeut; but the true character of thorax, extending quite up to the neck ; the disease began to be shown, and the posteriorly, it extended to the spine; the tumour increased in size, in spite of the He had never vena cava superior was found completely large doses of iodine given. obliterated, not the slightest trace of it being seen a case of inflammation of the periosperceptible, so that the direct communica- teum of the sternum which did not yield to tion between the thoracic duct and the heart the treatment employed in this case, and The great emaciation when he found that fail, he suspected the was entirely cut off. evident in the patient was, perhaps, attri- case was encephaloid. The disease had butable to this fact. The thoracic viscera another peculiarity besides that of attackwere found completely adherent to one ano- ing persons in the middle period of life, ther, so that they appeared an irregular solid which was, the rapidity with which it inmass, and it was found impossible to detach creased. No other kind of disease increased them without the scalpel. Dr. CARSWELL so rapidly. This case afforded a good inconsidered it to be a most perfect specimen stance of the powerlessness of iodine in of encephaloid carcinoma. The tumour is malignant disease. He considered it propreserved in the Museum of the University. bable that the disease, in this case, had commenced internally. In lecturing on this case Dr. ELLIOTSOK observed, that the encephaloid was the most Since the remarks at page 678 were writmalignant disease to which the body is liable. He had never known an instance in ten, we have been informed that Dr. SHARPEY which any operation, even though the whole has been elected. It is an unfortunate affair. of the diseased mass, or the limb to which To the Editor.—SIR:—Can some of your it was attached, was removed, had sucreaders give the history of Messrs. Smith ceeded in preventing the disease from re- and Hulbert, who exhibited at Newington turning in some other part of the body, and on Monday last They would. by so doing, the The disease patient. quickly destroying confer a great favour upon the medical pracwas characterized by the formation of a tioners of this neighbourhood. It is reportThe cause of the brain-like substance. ed that Mr. S., in consequence of his selfau’ection was not known ; and though somedispensaries," has driven one or degrading times the disease was seen in persons whose ’i two medical men from his district. Mr. ancestors had suflered from it, this was by Hulbert a perfect stranger is, personally, It ocno means the case in all instances. here. Indeed, I believe he has only been a curred in various structures ; sometimes on few weeks in the Borough. He appears to in the of sometimes inside a vein surfaces, be a sort of protégé of Mr. Smith, or perhaps or a bronchial tube. It had been called he is a missionary sent by the Poor-Law " but that was an immedullary sarcoma,"
proper term; the matter
certainly
was
not
medullary. The disease most frequently occurred in persons who had not passed the middle period of life, while schirrus generally attacked individuals who had passed that age. The encephaloid disease was often, too, met with in children, but it was most common in persons of about the age of this patient, 33. It sometimes attacked the eye, and sometimes the extremities. The disease was not attended with much pain, except from a sensation of distention; whereas
schirrus
was
characterized
by
a
sharp
Commissioners. Yours, respectfully,
CHIRURGUS.
August 11,
1836.
We have just
received, from Dr. O’Beirne
of Dublin, a communication entitled An Abstract of Original Views on the Functions and Diseases of the Intestinal Canal, with an examination of objections urged against them, and a further report of their successful application. Read at the British Association in August, 1835." As the memoir would occupy nearly thirty pages of THE LANCET, we must take a little time to lan- reflect on the request for its insertion.