A descriptive catalogue of the Pathological Museum of the London Hospital.

  • London Hospital Medical College. Pathological Museum.
Date:
[1890]
Catalogue details

Licence: Public Domain Mark

Credit: A descriptive catalogue of the Pathological Museum of the London Hospital. Source: Wellcome Collection.

    94/678 page 48
    Lympho.-Sarcoma. 167. Lympho-sarcomatous growth in the forearm (injected).—The right forearm and hand with the muscles and tendons dissected. On the radial side of the forearm, and extending over the lower half of it, is a defined lobulated growth, forming a projection of the size of half an orange just above the wrist, and extending deeply amongst the muscles and tendons, which it surrounds and along some of which it has extended. The external surface of the growth is nodulated. It is of firm consistence. Sections of it show round cells in a reticulum supported by interlacing fibrous strands. Sarcoma: Myeloid Sarcoma. 168. The outer half of the upper end of a tibia. The head of the bone is expanded, and the cancellous tissue entirely absorbed by a soft myeloid sarcomatous growth, the compact tissue of the wall of tin; bone being reduced to a thin shell, in great part membranous. The articular cartilage has not been invaded. The external wall of the compact bone of the shaft below is entire, but the inner wall has been eroded by the growth for a short distance. The growth was of a highly vascular character, and of a deep claret-colour when recent. It has shrunk in the spirit. It was removed by Mr. McCarthy from a young woman aged 25. She had complained of pain in the knee for four months. There was a fluctuating and pulsating swelling of the head of the bone, and myeloid cells were seen in blood withdrawn from it. At the operation the growth was found to have extended alonrr the crucial ligaments to the femur, part of which was removed. She died twelve days after the operation, apparently from exhaustion. No secondary growths were found in the viscera at the autopsy. (See Trans. Path. Soc. vol. xxxii. p. 208.) Round-celled Sarcoma. 169. The upper arm of a young subject greatly enlarged by a sub- periosteal sarcomatous growth around the humerus. It lias been laid open longitudinally on its inner side through the growth, which consists of two different structures—the inner part surrounding the bone very soft and highly vascular, as shown by the injection of the specimen, and the outer part, in or external to the periosteum, of firmer consistence, the two being separated by a fibrous membrane, which appears to be the displaced periosteum. The periosteum has been separated from the shaft of the bone throughout its whole extent by the soft growth, in which the bone is seen imbedded with its surface roughened by erosion. There has been a transverse fracture about the middle of the shaft without displacement of the fragments. The growth from the outer surface of the periosteum is thickest at the lower part of the section ; it ceases above about ]i inches from the neck of the bone.
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