Szemészet, 1910 (47. évfolyam, 1-4. szám)
1910-05-08 / 1. szám
108 patient cannot be said to be safe. Whereas a patient operated on in the first stage, may die of metastasis, those operated in the third stage may escape a fatal effect. Of the 23 patients who survives, 10 were completely cured 5 J » » V) Q u » r> jj 9 1 was 1 „ 1 „ J? 1 year after enucleation 2 years „ 3 5? 14 , • '» » » JJ Of the patients whose lives were saves, 8 were operated in the first, 10 in the second, and 5 in the third stage of the disease. All the tumours removes, with the exception of two, may be classed as melano-sarcomas. In two cases the tumour consisted of several quite devoid of pigment growth only the edges of which,’* however, were also surrounded by pigment borders. One case I consider deserves special mention, owing to the exceptional position of the metastasis. In January 1907. S. I., a male patient 55 years of age, was received in the University ophthalinological hospital, his complaint being entered as „sarcoma chorioideae“. With his right eye he could count fingers from a distance of one third of a metre. The patient’s eye was removed: after it had been cut open in the interior of the eye we found a dark-coloured tumour which took up nearly two-thirds of the same. For a year he was quite healthy. Then he fell ill, the symptoms being those of myelitis transversa situated in the lower back part of the medullary substance. In the bone of his upper arm, near the shoulder .joint, the patient also feets considerable pain: there is no alteration of the bone. There is no sign of any change either in lungs or liver: and no melanine has been found in the patient’s urine. The fact that he has suffered already from sarcoma of the eye and is now suffering from myelitis causa by compression makes it more than probable that the patient’s pain is due to the metastasis in the backbone. There is probably a similar affection' in the bone of the upper arm. (On the basis of information supplied by the Red Cross Hospital. Dr. Imrédy.) If we add the results here obtained to those obtained by Professor Emil de Grósz in 1895, we'can draw conclusions from 41 cases carefully watched from the beginning to the. end: of these, 21 ended in death by. metastasis, — i. e. nearly. 49% of the patients were cured, 3% less than the proportion resulting from the present observations. I should explain the greater proportion of cures in my account by the fact that whereas, of the 27 cases dealt with by Prof. Emil de Grósz, 1 was operated in the first (4%), 9 in the second (33%) and 17 in the third stage (63%), of the 67 patient treated by us, in the case of 19 (28%) the eyeballs were removed in the first stage, in the case of 27 (40%) in the second, and in the case of 21 (32%) in the third stage of the disease. The fact that, according to our statistics, the number of patients operated in the first stage is disproportionately larger than that to be found in Prof, de Grosz’s statistics, and that, on the other hand the number of patients whose eyes were removed by us in
