Publisher's Synopsis
Excerpt from Archives of Surgery, Vol. 6
Some years ago I found in one of the old volumes of the medico-chirurgical Transactions the portrait of a woman whose scalp was covered with little cherry-shaped tumours. The history of her case (as given by Mr. Henry Ancell) was most interesting. Her predecessors had been liable to the ordinary sebaceous cysts in her scalp. She herself at an early age had tumours of the same kind, but, as years went on, the tumours changed their character and became increasingly numerous. They also appeared, though smaller in size, on her face, neck, and chest. She finally died at the age of nearly sixty, with internal malignant growths. Thus the history seems to be clearly that of the gradual transformation of sebaceous cysts on the scalp, to which there was inherited liability, into malignant, solid and infective tumours. I thought the case, as it stood, of sufficient interest to have the portrait copied, and it was published in archives, Vol. III. P. 336. The sheets had barely left the press when in an American journal I came upon another case with a similar history, and almost precisely Similar appearances. I wrote to Dr. Cohn, the author of the paper, and he very kindly sent me some photographs of his patient, and some additional facts as to her history. Two years later a medical friend (mr. Giles) from Australia gave me two photographs of a woman in whom the conditions were so exactly like those of Dr. Cohn's patient that my first thought was that it must be the same case, and that the woman had left the States and gone over to Melbourne and there been photographed anew. Careful comparison of the portraits, however, proved that there were differences, and that certainly it was not the same woman. Of this case the particulars, with woodcuts, have been recorded by Drs. Barrett and Webster, of Mel bourne. No one looking at the portraits can doubt that they represent the same disease.
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