The pathology and surgical treatment of tumors (1895) (14591065017)

Identifier: pathologysurgica1895senn (find matches)

Title: The pathology and surgical treatment of tumors

Year: 1895 (1890s)

Authors: Senn, Nicholas, 1844-1908

Subjects: Neoplasms Neoplasms Cancer Cancer

Publisher: Philadelphia : Saunders

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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that an artificial anus in thislocality has a number of advantages not possessed by an artificial anusdevoid of a proper sphincter muscle lower down. Should the woundsuppurate, enough sutures are removed to secure free drainage. Inthis event the dry dressing must give way to frequent antiseptic irriga- 342 PATHOLOGY AND TREATMENT OF TUMORS. tions and to a compress of gauze kept moist with a saturated solutionof acetate of aluminum or of boric acid. If the carcinoma returns, little is to be expected from another ope-ration, as the local recurrence is usually accompanied by extensiveinfiltration and lymphatic infection. The formation of an artificial anusin such cases is never indicated, as the recurring carcinoma does notconstrict the bowel, but extends to the pelvic connective tissue. Testicle.—Carcinoma as compared with sarcoma of the testicle isan exceedingly rare affection. Sometimes it engrafts itself upon thebasis of an antecedent benign tumor or an inflammatory affection. The

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Fig. 224.—Carcinoma and tuberculosis of the testicle; X 85 (Surgical Clinic, Rush Medical College,Chicago): a, stroma of carcinoma; ^.alveolus packed with carcinoma-cells; f, focus of caseous degenera-tion; i/, miliary tubercles in carcinoma-tissue. section from which the illustration (Fig. 224) was taken was derivedfrom a testicle that had been tubercular for a long time and had onlyrecently commenced to increase rapidly in size. This specimen refutesthe assertion made by Rokitansky, that tuberculosis and carcinomaexclude each other. There can be no doubt in this case that the tuber-cular epididymitis was the primary and carcinoma the secondary affec-tion, Sutton has never seen a tubular carcinoma of the testicle. That CARCINOMA. 343 such a carcinoma occasionally, although rarely, occurs is shown byFigure 225. Langhans never saw hard, but always soft, carcinomataof this organ. He believes that the tumor starts from the epithelialcells Hning the seminiferous tubules. He also calls a

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1895

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