Lobulated tumor of the left neck. Seventh report, Chinese Repository vol. 6. 1836-1837, p. 436-437: No. 3488. Cartilaginous tumor. Woo Pun, aged 41, a shoemaker of Pwanyü, have been afflicted with a large unshapen tumor upon the left side of his neck. It hung pendulous from the submaxilliary, extending backward over the external jugular vein and carotid artery, forwards to the opposite side of the trachea and downwards to the breast. For the last ten years its growth was rapid, and from its magnitude it had become very cumbersome. It was as large as the man’s head, and so hard as not to yield to the pressure of the thumb. Centrally it was diseased and having perforated by an escharotics of an Chinese practitioner, it emitted a most offensive discharge. The aperture was half an inch in diameter and as regular as if formed by a drill. The patient kept it closed with a stopple, every morning evacuating some ounces of offensive fluid. His constitution had begun to suffer. On the 19th June, assisted by Messrs Cox, Cullen and Jardine, the tumor was removed in about five minutes. Several veins of considerable size were divided. (…) The tumor was two feet in circumference and weighed 7 lbs. The patient scarce uttered a groan. In twenty minutes he was comfortable in bed. (…) At 1 o’clock A.M. a servant called; and when I arrived at the hospital, the poor man was apparently gasping his last. He was very bloody and evidently made a desperate struggle without success to loosen the bandage. The neck was instantly freed of the roller. His pulse was just perceptible, his extremities were already cold; he foamed at the nose, and breathed stertorously, as in apoplexy. His mouth was immediately freed of phlegm, and his nose of blood. His mouth was immediately freed of phlegm, and his nose of blood; stimulants were applied, and also administered internally, and bottles of warm water put to his feet. (…) Probably the brother [his brother?] fell asleep and awoke only by the almost dying struggle of the patient. Two or three minutes delay in coming to his relief might have been too late! (…) In one month he was perfectly recovered. He has repeatedly visited the hospital. His constitution was wonderfully recovered and from the inroads of the disease and he again enjoys excellent health, and evinced unbound gratitude. He sees to regard the favor received, as conferring on him full liberty to introduce and all his diseased friends. This is very uniformly the case with such as have received any special benefit. Donated by Peter Parker to the Yale School of Medicine and transferred to the Historical Library.
Medicine, Chinese Missions and Missionaries Missions, Medical Neoplasms Tumors
Case No. 3488 Parker, Peter, 1804-1888 Woo Pun
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