Surgery : its theory and practice / by William Johnson Walsham.

  • William Walsham
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Surgery : its theory and practice / by William Johnson Walsham. Source: Wellcome Collection.

    92/902 page 76
    of wliicli the liomogenoovis, gelatinous basis-substance is contained (Fig. lOj. Tim round and spindle cells vary in number, and ai'e not shown in the diagram. Fibi'ous tissue, fat, cartihige, and sometimes adenomatous arid sarcomatous elements may likewise be present; but it is questionable in these cases whether the tumour should not be regarded as a soft fibroma, lipoma, enchondroma, sarcoma, &c., undergoing mucoid degeneration. Sccondai-y diaiKjcs.—Fatty degeneration, inflammation, irlceration, and the formation of blood-cysts owing to rujiture of the capillai'}' vessels. Usual seats.—They are most often found in the nose, where they constitute the gelatinous polyims. They are also found in the adipose, subcutaneous, submucous, and subserous tissue, and occasionally in the periosteiun and medulla of bone and neurilemma of nerves. Signs.—Excejrt when forming polypi, as in the nose, they resemble fatty and soft fibrous tirmours, from which they cannot be diagnosed with certainty. The so-called gelatinous or mucous polypus will again be referred to under Diseases o f the Nose. Treatment.—Eemoval where practicable. B. Tumours of tlie type of the liifjltcr connrclii-e tissues. The myomata or muscle tumours consisting of non- striated or even of striated mTiscular fibres : the ueuroinatu consisting of true nervous tissue, either the grey or the white; the oiuiiomata, or n;ovi; the Ii/mji/ion'/iomata con- sisting of dilated l^^mphatics, and the h/mpJicmafa and lyviyhadeiwmata consisting of lymphatic glandular tissue, will receive no further attention here (see Xa ri, Diseases of Nerves and Lymphatics). Un-striped nuiscle tissue, it maybe said, however, is frequently found in the so-calhnl filu'oid tumours [myo-Jihromata) of the uterus, of whidi. ituleed, it often forms the chief ])art. It is also foinid in the clu'onically enlarged ])rostate. Fai'ILLOMATA or WAirrv and VUJ.ors i TMdriisresemble in sti'ucture the papilhe of the skin and nuu'ous mem- In-ane. They include warts, condylomala. and mucous tubercles, and scnne forms of so-called villous luiiionrs. They arc innorent growths, rarely attain a ];irgo size, and only occur in Ihc skin and nuicous jnt^mbrane. In old ]>co]il(', liowe\'rr, A\'arly growths arc ■.\\\\ to degenerate
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