Fróðskaparrit - 01.01.1954, Page 105

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Cancer vesicae felleae. 2 men died of this disease. Neither of them
had quiite naitural gall bladders before the onset of cancer. The
elder man was operated on in 1938, aged 58; he had had an attack
of gall stones wiith jaundice in 1935. On being operated the gaill
bladder was found to ibe so hard t'hat it was impossible to say if iit
still (xxntained stones or not. Tlhe otiher patient was operated on for
gall stones in 1927, when over 100 were over removed. He became
a paratyphoid carrier in Nov. 1945. In 1948 he wished to be ope-
rated on for the removal of the gall bladder in the hope of getting
rid of the paratyphoid bacilli. The operation revealed igall stones
again and, quite unexpeotedly, cancer vesdcae felleae. He died the
same year, aged 51.
Cancer mammae, occured in 19 womeai, and caused the death of
13. 2 oild women who were operated on died 2 and 9 mouiths re-
speotively after the operation of demientia seniilis. They lived for
too »hort a period for one to say wether ithey would íhave ever been
cured. In the case of a woman operated on i.n 1951, it is still too
early to pass judgement. 3 patienLs reoovered. The woimetn who had
had children seem ito have cancer at an earlier age than those who
had had none. In no fewer than 11 of the 19 oases ithe cancer aro.se
in the gands of the brast which had ei'ther been the seat of disease,
often long before the onset of cainoer or were already oitherwise
ahnormal. Tahle VI. 2 of ithe 19 had eancer in boith breasts; in
the case of onie it began in .the left hreast gland, with the oither dn
the rdght. Only 4 over the remaining 17 had the disease dn the right
'breast, whereas 13 had it in the left. Pathodogic anatomical fin-
dings are given in Table VIII.
8 cases of sarcoma,, induding ithe <jase of 1 man aged 56 who died
in 1951 of chondro&arcoima metastasis. The disease began on the
basic bone of tihe 4th toe on the left foot. This bone was in any
case from the lOth or llth year onwards wider ithan the oorrespon-
ding one on the Left foot. In 1942 it was struok by a piece of stone
during 'blasting, after which the growth in question appeared.
From the foregoing it is appearent that 'time after itime a purely
mechanical aotion has provoked the outhreak of canger, as with all 4
cases of c. labid. inf. (pipe and loose 'tooth) and wiith 'both cases of
c. vesicae felleae (gall stones). The same can be said abo.Uit one man
with dhondrosarcoma, whose disease was provoked through his be-
ing str.uck hy a fitone. To this may be added tihat a good quarter of
the 19 cases of c. mammae had had mastitis in the isame breast while
in more than half of the 19 cases the 'breast gland was in some way
ahnormal.