MEKLIGANJ HOSPITAL. TUMOUR OF THE SUPRA-ORBITAL REGION EX- TENDING INTO THE ROOF OF THE ORBIT REMOVED ON THE 17th AUGUST 1887.

By Assistant Suiigeon JAGAT CHUNDRA DAS GOOPTA.

Ranga Lal, a Hindu male, aged 20 years, was admitted in this hospital 011 the 16th instant,

for a tumour on his supra-orbital region extend- ing into the roof of the orbit.

History of the case.?The patient stated that about ten years ago lie first noticed a small

swelling of the size of a pea-bean on his left

supra-orbital region unattended with any pain; the swelling was soft on palpation. It gradu- ally increased to the size of a pigeon's egg, with slight pain in the tumour and in the left eye. The growth of the tumour, said the patient, was very slow.

Symptoms on admission.?The tumour was found to have attained the size of a pigeon's egg, slightly painful on pressure; the skin was movable 011 the tumour, but the tumour itself was not movable 011 its base, nor it was lobulated; the health of the patient was perfecty good.

Operation.?Early in the morning of the 17 th August, the patient was put under chloroform; an incision was made on the tumour; the skin and superficial fascia were divided ; the tumour was found fully capsuled, but the capsule firmly adherent by its base to the subjacent bone extending a little 011 its orbital plate. Then

finding it very difficult to remove the tumour with the whole of its capsule, I incised the capsule and removed the contents, a yelk-like matter of somewhat firm consistence. I then removed the

capsule as much as practicable with knife and scissors, leaving the portion adherent to the frontal bone and its orbital plate untouched, fear- ing to strip of the bone and diffuse inflammation of the eye. The bleeding was checked by compression, and the cavity of the tumour

was washed with boracic acid lotion, and the

flaps were brought together by silver wire and dressed with lint soaked in percloride of mer- cury lotion, and then the bandage was put on.

Subsequent progress.?The wound was opened on the 21st August, when the lips of the wound were found united by adhesive inflammation. On the 23rd sutures were removed and simple dressings put 011, and the patient was discharged cured 0x1 the 25th instant.

Remark.?The peculiarity of the case was the extension of the tumour into the orbit, the adhe- sion of the capsule to the subjacent bone, and the successful result, although it was removed

leaving a portion of the capsule behind.