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20.
Medical Procedure. Abnormal cases have an interview with the Medical Director
and are referred through the examinee's own doctor to the appropriate Chest
Clinic; the ultimate diagnosis being secured from the latter. We express our
grateful thanks to the many Chest Clinics, to which we have referred cases,
for their helpful co-operation.
The Unit classifies its abnormal miniatures, and appropriate notification
is passed to the examinee. Where an investigation is outside the purview of a
Chest Clinic, the co-operation of St. Bartholomew's Hospital is secured.
The help rendered by Dr. N.C. Oswald and his colleagues is herewith gratefully
acknowledged.
An examinee, age 24, attended this Unit for a routine film in October
1953, and nothing abnormal was found. In March 1956, an opaque mass was
found in the right side of the chest. On April the 30th, 1956, he was
operated upon by Mr. N.R. Barrett, and a large dermoid was removed.
Histologically it was a benign cystic teratoma.
The interesting feature of this case is the rapid growth of a presumably
congenital tumour during two and a half years of adult life. This case was
reported in "The Lancet", June 1957, by Dr. R.F. Guymer, Chief Medical
Officer, Lloyds Bank, to whom I am indebted for the details.
Conclusion. Since the Unit commenced operating in May 1950, it has examined
(up to the end of 1956) 208,373 males and 152,274 females, making a grand
total of 360,647.
The friendliest relationship has existed between the Unit and
Dr. J. Greenwood Wilson, Medical Officer of Health for the City of London,
and with the Medical Officers of Health for the Boroughs of Finsbury and
Shoreditch, all of whom have been most helpful. Our grateful thanks must
also be accorded to the London County Council and the Divisional Medical
Officers in Health Divisions 3, 4 and 5. To the Central Group Hospital
Management Committee and to the Regional Hospital Board, we have much pleasure
in recording our gratitude for the many services they have rendered to this
Unit during 1956".
SHOREDITCH TUBERCULOSIS CARE COMMITTEE.
I am grateful to Miss Guest, the Secretary, for the following report of
Care Work for the year ended 31st December, 1956.
"During 1956 the Shoreditch Tuberculosis Care Committee continued its
work of caring for the social needs of the tuberculous patients of Shoreditch
and their families. In March 1956, however, the Committee, following the