A. Thick, 8. (+. Mead, Primary Hepatoma With Metastasis to the Mandible. :ln~l iI-. E. Schattc~n. A\m. J. Surg. 94: 846, December, 1957. This cast of primary hepatoma with ing without prece(lent in the literature. A 57.year-o]{1 white one-half years previously
metastasis
man had a third molar and severe complications
to the mandible removed followed.
from
M. Nensh,
is reported
the mandible
as betwo
and
One of the authors found an elevated spongy mass on the crest of the mandibular rirlge, extending from the second premolar area to the ascending ramus; the area was edentulous. There were no palpable masses in the neck, submental, or submaxillary areas. S-r:]? examination revealed t,hat the mandible was involved. that
An excision biopsy reported “malign~ant it looked like a “liver biopsy.”
tumor,”
-41~ exploratory Iaparotomy was done, and the liver The pathologist’s report was hepatoma.
and
the
was found
pathologist
commented
to be diKuseIy
modular.
T. J. C.
ORAL MEDICINE Trigeminal Neuralgia: Special Consideration of Nonsurgical and H. N. A. MarDonald, J. A. M. A. 165: 437, October,
Treatment. 1957.
J. G. Rushton
The authors have studied the cases of 155 patients with trigeminal neuralgia, seen in the Mayo Clinic during 1953, in an attempt to learn something of the natural history Of the disease, Whereas the disease was found to be primarily one of the middle or later years of life, nineteen of the 355 patients noted symptoms before the age of 40 years. From the study of the length of history, it would appear that spontaneous cures may occur but that such occurrences are very rare. Seven patients suffered bilateral trigeminal neuralgia, with an interval between the onset of pain in the two sides of from three to twenty-four years. One patient suffered both glossopharyngeal neuralgia antI trigeminal neuralgia. The time between the onset of illness and the presentation of first treatment plus the duration of longest spontaneous remission as to the expected future course of the illness. The patients who neuralgia for a long time and who have enjoyed long remissions disease follows a somewhat benign course.
the patient for his will give some clue have had trigeminal may find that their T. J. C.