The preparation for and the results of surgery in myasthenia gravis

✍ Scribed by M. J. Lange

• Publisher: John Wiley and Sons
• Year: 1960
• Tongue: English
• Weight: 739 KB
• Volume: 48
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.18004820909

✦ Synopsis

Examination of histological preparations of each of the four specimens received revealed tissue of identical appearance. No new evidence concerning ontogeny was obtained. The unusual feature in this case was the multicentric origin of three tumours in contiguous dental primordia, believed to arise in the paradental epithelium (Willis, 1958).

In the literature 3 cases are reported in which local recurrence followed initial surgical excision. (The case reported by Battle, Hovell, and Spencer (1952) is particularly instructive in this regard.) A further operation was successful in each case and the inference is that these tumours are benign in that they do not metastasize despite their bizarre cellular structure and ominous propensity for local invasion. The course, so far, of the infant reported here would justify this optimistic conclusion.

SUhlMARY

A case of multiple melanotic adamantinomata in an infant is reported which would appear to be unique in that three contiguous teeth were affected seriatim. Despite one recurrence which has been brought under control the prognosis is considered to be good.