Patient Mrs Chas Guppie
Address Gravenhurst, Ontario
Age 21 years
Doctor Dr M. M. Fisher
Address Gravenhurst, Ontario
Diagnosis   Skin Cancer - Squamous Carcinoma.



 


Letter from Dr Fisher

11/1937

Mrs Chas Guppie,

Uffington,

Dear Mrs Guppie,

When you come out you better come out prepared to go down to Toronto for a little treatment. I received the report back today and the section shows that thing on your hand to be a skin cancer. You will have to go down for treatment. Come in to the office on your way however till I give you a letter.

Kindest regards

M. M. Fisher.

PS Don't worry it will be O K.

M. M. F.

Remarks

Section sent to Toronto, and report came back skin cancer, on palm of right hand, one month's duration.

11/1937

First treatment by Caisse Patient did not go to Toronto for treatment.

12/1937

Hand improving.

1/1938

Growth has decreased in size but still throbs.

10/1938

Patient's hand completely healed, soft and pliable, saw doctor in Gravenhurst who said she had nothing to worry about now.

11/1938

One cannot tell which hand had been afflicted with cancer.

Copy of diagnosis.



Public Health Laboratories
Department of Health, Ontario
Parliament Buildings

DIVISION OF PATHOLOGY

Guppy, Mrs Chas
Nov 2-37
P-5753-39

Dr M. M. Fisher
Gravehurst, Ont.

Material: Tissue from hand`
Diagnosis: Squamous Carcinoma of Hand (early)
Gross_Specimen: The gross specimen consists of a rounded portion of skin 1.2 cm. in diameter together with subcutaneous tissue measuring 3 mm. in thickness. In the centre of this portion of tissue is a somewhat raised nodular ulcerating surface 5 mm. in diameter which on section minute haemorrhages and is apparently composed of epithelial tissue. The tissue appears to be thinning down to the subcutaneous tissue.
Microscopic_Report: The tissue shows a heaped up nodule where the squamous epithelium is invading the underlying tissue in a malignant manner. The surrounding stroma shows a marked amount of chronic inflammation. The general appearance is that of an early squamous carcinoma arising in an area of inflammation.


H. J. A. Ansley
(Pathologist)
Form D172-10M-10-38

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