Donald E. Ross

Cancer of the pancreas: A plea for total pancreatectomy

Abstract A brief history, the authors statistics and diagnosis are given. A series of ten cases is presented, with a discussion of the complications and the lessons that may be learned. The spread of cancer in the pancreatic area has been discussed and the requisites of pancreatic surgery outlined. The surgical technic of total pancreatectomy as performed by the author is described and is illustrated in detail. Postoperative physiology has been discussed and conclusions drawn from this critical survey.

Cancer of the pancreas

Abstract A brief history, the authors statistics and diagnosis are given. A series of ten cases is presented, with a discussion of the complications and the lessons that may be learned. The spread of cancer in the pancreatic area has been discussed and the requisites of pancreatic surgery outlined. The surgical technic of total pancreatectomy as performed by the author is described and is illustrated in detail. Postoperative physiology has been discussed and conclusions drawn from this critical survey.

Nasopharyngeal tumors: A new surgical approach

Abstract A new radical operation giving adequate exposure to the nasopharynx through the pterygoid area is outlined. The relative ease with which the operation can be performed makes this route feasible. It is postulated that there are definite indications for the occasional use of a surgical approach, and these are outlined. Other operative methods fail to give adequate exposure. The cosmetic effect is excellent and the function of the jaw is maintained.

Medicolegal implications of paralysis of the recurrent laryngeal nerve

Abstract 1. 1. The causes of paralyses of the vocal cords, their clinical manifestations and treatment are discussed. 2. 2. It is emphasized that paralysis does not always mean a cutting of the nerve. 3. 3. The anatomy and pathology are reviewed and illustrated by suitable sketches. 4. 4. Methods of prevention of paralysis during surgery are discussed. 5. 5. Suggestions are made for the handling of these cases which may safeguard the surgeon against medicolegal suits.

Surgical treatment of carcinoma of the breast

Abstract 1. 1. Radical complete amputation is the best treatment for cancer of the breast. 2. 2. The operator should become familiar with all anatomical landmarks of the thorax. 3. 3. The operator should strive first for accuracy in dissection and then for rapidity. 4. 4. Rapidity can be acquired by practice in following a definite plan of operation. 5. 5. The various steps of procedure are given in outline form.

Malignancy occurring in cystosarcoma phyllodes: case report.

Abstract Cystosarcoma phyllodes is usually considered to be a benign tumor. However, there are enough instances now of malignant behavior to warn that it may act as a definitely malignant tumor. In rare instances it may metastasize to lymph nodes, bone and lung. Usually, however, the history is that of local recurrence with infiltration through the chest wall. The author has presented another malignancy occurring in a case of cystosarcoma phyllodes. Recurrence took place four times, each of which showed an increased degree of malignancy described as fibromyxosarcoma. It is our belief that radical mastectomy should be performed except in very early cases and great care should be exerted to clean off the chest wall leaving no nubbins of tissue.

Chemodectoma: Report of hypoglossal nerve involvement

Abstract We are reporting, herewith, the first case of which we are aware in the worlds literature of an authenticated chemodectoma of the hypoglossal nerve. This tumor was successfully removed and the resultant defect in the hypoglossal nerve was bridged by the use of a nerve graft.

Cancer of the thyroid gland.

Abstract A personal series of seventy-seven cases of cancer of the thyroid gland is presented. An urgent plea is made for adequate surgical procedures and a painstaking follow-up with I 131 . The surgical technic used by the author for esophageal chain and substernal dissection is illustrated and described. The authors block resection is shown in a suitable drawing. (Fig. 2).

Recurrent laryngeal nerve paralysis occurring in an infant

Abstract 1. 1. Recurrent laryngeal nerve paralysis occurring in an infant is extremely rare. Such a case is reported herein. 2. 2. The subject of recurrent laryngeal nerve paralysis is reviewed. 3. 3. The diagnosis of a lesion of the pons pressing on the vagus nerve and causing recurrent laryngeal nerve paralysis was suggested as a clinical diagnosis. It was interesting to find that the autopsy findings corroborated this diagnosis.

Cystosarcoma phyllodes (giant intracanalicular myxoma)

Abstract 1.1. A brief review of the subject, cystosarcoma phyllodes, is made. 2.2. The tumor might easily be mistaken for inoperable malignancy. Its huge size with no metastases to lymph nodes or invasion of surrounding tissues marks it as a benign growth. 3.3. Pathologists frequently comment on the relatively malignant appearance of the stroma. Occasionally, too, these tumors act in a malignant manner, recurring locally and even metastasizing. For these reasons we believe that radical mastectomy should be performed rather than simple mastectomy. 4.4. Two case reports of the author are added, plus five cases extracted from the hospital records of the Queen of Angels Hospital since 1943 to the present time, 1952.