1950.
Report of the Ophthalmic Hospital.
213
No. 32,196. July 2d, 1849 Tumor one foot in circumference sur- rounding the middle finger. Kwáng Sú, æt. 41, a farmer of the dis- trict of Sinhwui, had a tumor surrounding the middle finger of the left hand. It formed a perfect sphere, and measured just one foot. There existed a varicose state of the veins of the arm. The venous
arch on the back of the hand was twice its natural size. Under the influence of chloroform, the tumor was removed by disarticulating the finger at the metacarpal joint. On dissection, the tumor was found to be of a hard glandular, or semi-cartilaginous structure, quite homogeneous throughout, and adherent to the bone. The tip of the finger and its nail were just discernible. One artery, and the princi- pal vein, both required a ligature. In about one month, the wound healed, leaving him a useful hand.
No. 32,222. 2d July, 1849. Large scirrhus of the breast of a young man. Fung Pih-hú, æt. 20, of the district of Sinhwui, had a scir- rhous affection of the right mamma of six years' growth. The young man was extremely emaciated, extremities œdematous, countenance cadaverous; the breast had long been ulcerated, and was beginning to slough, and it was manifest that if space would be found sufficient for the scalpel to pass between his disease and the grave, it must be with- out delay. Notwithstanding the thermometer ranged at 90° and up- wards, with a desire of affording him his only chance of recovery, on the 4th July I proceeded to the operation, not without apprehension lest he might not survive. The gland was extirpated in about one minute, and the arteries secured as speedily as practicable. It measured 23 inches in circumference, and weighed a little short of three pounds. There was not sufficient healthy integument to cover the base when removed, and a space of two inches in breadth at the widest part be- tween the flaps, required to be healed by granulations. The patient rallied remarkably well. The œdema subsided entirely in a few days, the general health improved, and in six weeks the patient was dis- charged comparatively well.
MISCELLANEOUS.
No. 31,763. 4th June. Prolapsus uteri of ten years' continuance. Hwáng shí, æt. 53, of Canton. This woman had been incommoded by the complete prolapsus of the womb for the above period, yet she was robust and otherwise apparently quite well. From many years' exposure, the surface appeared more like the skin of the palm of the hand than it did like a mucous membrane. At the apex there was a small healthy ulcer. The organ was replaced without difficulty.
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