0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Moments in Surgical History |

"Eiloides of the Neck in a Negro Girl"

Ira M. Rutkow, MD, MPH, DrPH
Arch Surg. 1998;133(6):683. doi:10-1001/pubs.Arch Surg.-ISSN-0004-0010-133-6-ssh0698.
Text Size: A A A
Published online

Extract

When John Collins Warren (1778-1856) authored Surgical Observations on Tumours, With Cases and Operations (1837) it seems unlikely that he could have realized his monograph would come to represent the first major written American effort in the future specialty area of surgical oncology. Divided into 14 sections (ie, "Epidermoid Tumours," "Dermoid Tumours," "Tumours of the Cellular Membrane," "Muscular Tumours," "Peristeal Tumours," "Osseous Tumours," "Tumours of the Glands," "Tumours of the Secreting Glands," "Tumours of the Testis," "Tumours of the Mucous Glands," "Tumours of the Vascular Texture," "Tumours of the Membranous Textures," "Encysted Tumours," and "Abdominal Tumours") plus a glossary of distinguishing characteristics of tumors (eg, "Eiloides; a morbid growth of the cutis, coiled or folded"), the work became especially prized because it contained 16 hand-colored plates of patients by the master American engraver and caricaturist David Claypoole Johnston (1799-1865). Although it was Warren's intent to eventually author an enlarged second edition, numerous other committments and his advancing age would keep him from doing so.

Figures in this Article

Topics

neck ; blacks

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption

In Warren's monograph, not all cases were related to malignant growths. In the chapter titled "Dermoid Tumours" he described an eiloides-shaped excrescence on a 15-year-old girl. Warren stated that no cause was known, "but a scrophulous habit seems to predispose to it." Astonished at its unsightly appearance, Warren "executed its removal." Eighteen months later, the young woman suffered a complete recurrence of the neoplasm, and "she died dropsical." Postmortem examination of her body revealed that "the lymphatic glands in the abdomen were greatly increased, forming large tumours throughout the cavity." Scrofula is an obsolescent and indefinite term for a constitutional state, occurring in the young, marked by a lack of "resisting power" of the body, predisposing to tuberculosis.

Graphic Jump Location

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();