Visceral sarcomata : cases of sarcoma of the stomach, heart, mediastinum, etc. / by W. Gilman Thompson.

  • William Gilman Thompson
Date:
1910
Catalogue details

Licence: In copyright

Credit: Visceral sarcomata : cases of sarcoma of the stomach, heart, mediastinum, etc. / by W. Gilman Thompson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    out very distinct margins. Microscopically the tumors comprised the same type of lymphoid cells seen elsewhere, which were found to pack the in- termuscular spaces and separate the muscle fibrillae. The latter appeared intact despite the density of the new growth, which fact, in a measure, explains the remarkable absence of cardiac symptoms while the growth was in process of development. In certain other reported cases of sarcoma of the myocardium, a similar absence of symptoms has been commented upon. The kidneys were very large, the right weighing 390 gm. and the left 430 gm. The capsules were nonadherent, and the normal kidney tissue appeared entirely replaced by nodules and irregular glisten- ing white conglomerations of lymphoid cells. Many tubules and glomeruli were destroyed, others showed epithelial desquamation and distention with hyaline substance. The liver, spleen, and supra- renals were normal. The infrequency of occurrence of sarcoma of the stomach may be gathered from a study made in 1905 by Corner and Fairbanks5 of London, who col- lected 175 cases from the literature of primary sarcomata of the alimentary canal, of which 58 in- volved the stomach and 65 the small intestine. About one-third of these growths were of round- cell structure. Subsequently Norman Dalton6 re- ported a round-cell sarcoma involving primarily the stomach and abdominal lymph nodes in a boy 15 years of age. Harlow Brooks7 reported in 1905 four cases of primary sarcoma of the stomach, one of which was of round-cell type, one a fibrosarcoma and.one an angiosarcoma. His conclusion that sarcoma, while it is less apt than carcinoma to involve the gastric
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