Page images
PDF
EPUB

THE

BIRMINGHAM

MEDICAL REVIEW:

:

A MONTHLY JOURNAL

OF

THE MEDICAL SCIENCES.

EDITED BY

DOUGLAS STANLEY, M.D. EDIN., M.R.C.P.,

AND

LEONARD GAMGEE, F.R.C.S..

VOL. IV. NEW SERIES,

VOL. LVI. OLD SERIES.

BIRMINGHAM :

PERCIVAL JONES LIMITED, 87-89, EDMUND STREET.

1904.

[blocks in formation]
[blocks in formation]

428

[merged small][ocr errors]

4.98

716

Page

Galbraith (Anna M., M.D.),

Four Epochs of Woman's

Life

449

Guy's Hospital Reports ...

566
Hansell and Sweet, &c., Text

Book of Diseases of the Eye 564
Herring, Sterilisation of Ure-

thral Instruments and their
Use in some Urinary Com-
plaints

448
Holt, The Care and Feeding
of Children

730
Hutchison, Patent Foods and
Patent Medicine

732
Jardine, Practical Text Book

of Midwifery and Nurses ... 563

Keen and White, Text Book

of Surgery for Practitioners

and Students

501

Leedham-Green, Sterilisation

of the Hands: Bacteriolo-
gical Enquiry into the Rela-

tive Value of Various Agents 683
Lewers, Practical Text Book

of the Diseases of Women 557
Martindale and

Westcott,
Extra Pharmacoparia

732

Medical Annual : A Year

Book of Treatment, &c. 504

Montgomery, Practical Gyn-

æcology

Moullin, Enlargement of the

Prostate

Owen, Cleft Palate and Hare-

Lip: The Earlier Operation

on the Palate

Pearce Gould, Elements of
Surgical Diseases...

559
Peterson and Haines, Text

Book of Legal Medicine and

Toxicology

Porier, Cuneo, and Delamere,

The Lymphatics

556

Saunders’ Year Book of Medi-

cine

Stacpoole (Florence), Ail

ments of Women and Girls 451
Stephenson, Ocular Thera-

peutics

Stevens, A Manual of the

Practice of Medicine ... 559

Stewart (Netta), Gynæcologi-

cal Nursing

System of Physiologic Thera-

peutics

561

Thompson and Mills, Manual
of Surgery

505

558

728

685

LIBRARY

A PLEA FOR EXPLORATION IN SUSPECTED

MALIGNANT DISEASE OF THE OVARY,
WITH ILLUSTRATIVE CASES,

Being the Ingleby Lectures for 1904.
Delivered at the University of Birmingham, May 1oth and 17th, 1904.

By CHARLES J. CULLINGWORTH, M.D., F.R.C.P., Obstetric Physician to St. Thomas's Hospital, London.

LECTURE II.

as

was

am

IN my last lecture I spoke of the difficulty of diagnosing a case of malignant papilloma of the ovary from a case of ordinary infective, or non-malignant, papilloma, and of the desirability of making an exploratory incision in every doubtful case.

And when, even after the abdomen has been opened and the parts have been exposed to view and touch, there still remains, as there will occasionally remain, a doubt

to the true nature of the disease, I advocated the completion of the operation wherever it

at all possible. I narrated in, I afraid somewhat wearying detail three cases which had come under my own observation, and of which the subsequent history, extending over a long series of years, was more or less fully known to me. In all three, the adoption of the measures I was advocating, though carried out under the most unpromising circumstances, had had the result of considerably prolonging life, and in one instance of apparently effecting a complete and permanent cure. In order that I may not lay myself open to the charge of recording only the more favourable cases, I am about to relate, very briefly, the particulars of a case which, though less successful in regard to the extent to which life was prolonged, nevertheless still appears to me to have justified the decision to operate.

« PreviousContinue »