The first description of the complete natural history of uveal melanoma by two Scottish surgeons, Allan Burns and James Wardrop

Acta Ophthalmol. 2018 Mar;96(2):203-214. doi: 10.1111/aos.13535. Epub 2017 Aug 21.

Abstract

James Wardrop (1782-1869), a young Scottish surgeon and an early ophthalmologist in Edinburgh, is credited for describing in 1809 retinoblastoma as an entity in his treatise 'Observations on Fungus Haematodes or Soft Cancer'. His treatise also reveals that Allan Burns (1781-1813), another young Scottish surgeon and anatomist, had invited Wardrop to assist in enucleating an eye from a 41-year-old Glasgow woman who, in retrospect, had a uveal melanoma. Her eye had become blind 4 months after symptoms of exudative retinal detachment had appeared, and it had become painful after a further 2-4 months. The tumour eventually perforated the sclera, and she died within a year thereafter of hepatic metastases. Burns and Wardrop went on to publish detailed parallel accounts of the symptoms, signs, ophthalmic pathology and post-mortem findings regarding the primary, recurrent and metastatic tumour. Burns may have performed the post-mortem after exhuming the body, a common occurrence in early 19th Century Scotland, a thriving hub for teaching morbid anatomy to young surgeons at the time.

Keywords: 19th century; Scotland; enucleation; history of autopsy; history of medicine; melanoma; metastasis; retinoblastoma; uveal tumours.

Publication types

  • Biography
  • Historical Article
  • Portrait

MeSH terms

  • History, 18th Century
  • History, 19th Century
  • Humans
  • Melanoma / history*
  • Ophthalmology / history*
  • Scotland / ethnology
  • Surgeons / history
  • Uveal Neoplasms / history*

Supplementary concepts

  • Uveal melanoma

Personal name as subject

  • Allan Burns
  • James Wardrop