South African Medical Journal - Volume 26, Issue 16, April 1952

The pathology of Hirschsprung's disease is descriptionbed and the present-day operative treatment indicated. A typical case is reported.

An analysis has been made of 1,617 consecutive births at St. Monica's Home, Bree Street, Cape Town, from February 1947 to March 1950. Figures relating to birth weight, prematurity, still births, deaths, etc., are presented. The chief causes of still births and deaths are discussed. The incidence of prematurity and of syphilis was found to be high.

*The references wilI be published at the end of the concluding part of this article.

Adamantinoma must be considered in the differential diagnosis of all jaw tumours, especially in the Bantu. Many conditions appear to be one thing and turn out to be another. Histological types of adamantinoma are numerous. Cystic, mixed and solid forms occur. The upper jaw adamantinoma is usually solid and behaves as a malignant tumour. The clinical types of adamantinoma can be divided into:- (a) Peripheral or alveolar type. (b) Central adamantinoma with a thin rim of the horizontal ramus. (c) Symphysial adamantinoma. (d) Adamantinoma of the ascending ramus. (e) Massive adamantinoma. (f) Upper jaw adamantinoma. The principles of treatment vary according to the clinical types and reconstruction must go hand in hand with excision.