Tumours of Facial Bones. 409 



Part of the face and skull of an adult, probably a woman — in 

 spirit, illustrating the above. 



A malignant tumour has invaded the superior maxillae and 

 adjacent parts, extending into both orbits and the nasal cavity, 

 and involving the left anterior and middle fossae of the skull. 



G. C. 1908. 

 Presented by The Medical Officers of Leitli Dispeiisaiy. 



6, 506. Maligrnant Disease of Facial and Cranial Bones.— 



Portion of the bones of the face and skull of a woman — in spirit, 

 illustrating the above. 



"About foiu' years ago the woman, Susanna Todd, aged 39, had a 

 small tumour of the size of half a hazel-nut on the gum over the first 

 molaris of the upper jaw. It continued to increase for two years. At 

 this time a medical gentleman thrust his lance into it, but nothing but 

 blood flowed from it. The wound did not heal, and from that time the 

 tumour rapidly increased for the space of a year, bleeding from time to 

 time. She observes that these bleedings always relieved her, so that she 

 was at this time suffering pain. The tumour had now enlarged the 

 alveolar process, and appeared as a tumour on the cheek. She went into 

 Hospital, and they drew two of the molares, and cut away a portion of 

 the gum ; but she derived no further advantage from this than that for a 

 time she was freed from the portion of the tumour which projected into 

 the mouth and plagued her in eating. She was eight months in the 

 Hospital. While she was attending there, they thrust a probe into her 

 nostrils, to which she attributes the blindness of the left eye ; but this is 

 evidently a fancy of hers. 



' ' From the Hospital she was carried to the Morkhouse, and nothing 

 further took place but the gradual increase of the tumour, Mhich about 

 three weeks ago produced a dimness of vision in the left eye, and in three 

 days the sight was totally lost. 



' ' She has now a large tumour of the whole left cheek, which appears 

 like an irregular swelling of all the bones of the face. The alveolar 

 processes are much enlarged, and project so that the upper jaw shoots far 

 out^before the range of the lower jaw. The tumour extends from the base 

 of the lower jaw to the inner canthus of the right eye : it presses in upon 

 the orbit, and has, in some degree, displaced the left eye. It has thrust 

 the nose aside also ; a fungous irregular tumour occupies the whole of the 

 left side of the mouth and affects all the palate : it has shot back into the 

 fauces, and presses upon the mouth of the Eustachian tube of the left side. 



"March 15. — The tumour has considerably increased, for although 

 it be flatter at the lower part of the cheek towards the eye, it is enlarged. 



