Incidence of the Burkitt Tumour in Ibadan, Western Nigeria

Cancer in Uganda-Davies et al.MBALJOURNALleft behind as far as could be felt.Patient lost about a pint of blood during removal of the tumour and practically none after it.Patient's pulse became rapid (156/min.)and Liq.Strychn.hypo injection min.10 given during operation.At the close of the operation pulse was 128.Wound was brought together without any undue tension by silkworm gut interrupted sutures.Iodoform gauze and white wool applied.Operation lasted 1 hour and 10 minutes.On section the tumour was found to be encapsulated- to be jet black in section-soft in consistency and in one place to have broken down into a cyst.Ulcer led directly into interior of tumour.The tumour was put in weak spirit to be sent to Dr. Ross, of Entebbe. 10 March.-Temp.rose to 101.8° F. last night.It is subnormal this morning.14 March.-Wounddressed; it was completely broken down- only two sutures holding.The stitches were all removed and the wound plugged with gauze.21 March.-The wound has granulated level with surface and is healthily granulating in.24 March.-Tumourhas been pronounced to be a melanotic sarcoma by Dr. Ross, of Entebbe.28 March.-Healingnicely.Small gland noticed just above wound lying on Poupart's ligament.5 April.-Eucainegr. 1 was injected in two doses at intervals of 5 minutes over the small gland referred to in notes (28 March).Incision was made over the latter and three glands removed.The largest was the size of a bean and the other smaller than peas.On section the larger was found to be slightly pigmented.Wound brought together by silkworm sutures and dressings applied.7 April.-Woundhealing by first intention.11 April.-Stitchesremoved-first wound nearly healed; second united.18 April.-Patientallowed to walk.21 April.-Woundhealed under a scab.28 April.-Patientgoes out to-day.