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SOCIETY TRANSACTIONS.
NEW YORK DERMATOLOGICAL SOCIETY.
One Hundred and Eighth Regular Meeting, February 24, 1880.
DR. BULKLEY presented a case of
Epithelioma,
with the following history:
Sarah G., set. 62, stated that a hard lump had made its appearance over the outer side of the left eye about fifteen years ago (1865). In 1875 it commenced to give more trouble, crusting over and bleeding when the crust was picked off. Since this time she has been under treatment with varying degrees of success. In 1878 the ulcer was partially destroyed with Marsden's arsenical paste in the hands of another practitioner, and afterwards cauterized by means of nitric acid. When first seen by Dr. Bulkley (February 20, 1880) there was a large fungating mass, an inch and a half in diameter, with hard edges, extending from the eye and occupying its outer half, reaching upwards to the roots of the hair, and up into the hair, with nodules on its border. Over the malar bone there was a mass of diseased tissue about the size of a large almond, which pointed upward, and the skin was abraded in this situation to the extent of about one-half a square inch. On the right side of the nose, near the bridge, there was a flat epitheliomatous mass, pearly in appearance, about one-quarter of an inch in diameter, and over which the skin was uninjured. The largest mass had hard borders, with a suppurating and bleeding surface. There was apparently excavation and interstitial absorption of the left temporal bone. She complained of great pain over the site of the ulcer.
Dr. Bulkley asked for suggestions as to treatment.
Dr. Morrow believed that the best results could be obtained by the application of sulphate of zinc in powder.
Dr. Sturgis thought that if any method could be of service in so advanced and serious a case as this it would be thorough erasion followed by the application of the actual cautery.
Dr. Bulkley was inclined to favor Dr. Moore's plan of treat- ment for these cases, viz., removal by means of the knife, followed by the liberal use of the perchloride of zinc. In the course of his remarks he referred to the term rodent ulcer, as designating the disease.
