A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
_Diffused Hæmatocele of the Cord_ results from the rupture of some
vessels of the cord, in consequence of which blood is effused within the
spermatic fascia. A tumor of enormous size may be formed should the
bleeding continue, or recur after having been arrested. The usual cause
is some strain or violent exercise.
=Varicocele= is a morbid dilatation of the spermatic veins. “The
enlarged veins hang down below the testicle, and reach upwards into the
inguinal canal; and when very voluminous, conceal the gland, encroach on
the septum, and extend to the other side of the scrotum.” The left veins
are more frequently affected than the right. In an advanced stage of the
disease, the coats of the veins are thickened, and do not collapse when
cut across. In cases of slight varicocele, the nutrition of the testis
is not interfered with, but when large, it produces marked atrophy.
Morbid Growths.
=Cancer= is most frequently primary, and generally attacks the body of
the testis in the first instance, the epididymis remaining for some time
unaffected.
_The scirrhus variety_, characterized by its great induration, is rarely
met with.
_Encephaloid_ is the ordinary form; it commences as one or two masses
among the tubuli, which it gradually destroys. The tunica albuginea is
absorbed by degrees, gives way, and allows the growth to project into
the scrotum and there freely vegetate. The scrotum is slow to be
involved in the disease, but at first becomes distended, sometimes to
the size of a cocoanut, and then gradually ulcerates. The spermatic
artery and the accompanying veins become greatly enlarged. The cord may
also be attacked with the disease, while secondary cancers spring up in
various places. The lymphatic glands in the neighborhood become
enlarged, especially those in the iliac fossa. The inguinal glands do
not generally become affected until the skin has become involved in the
disease.
Intermixed with the encephaloid are commonly found masses of a bright
yellow color, supposed by some to be deposits of tuberculous matter, but
by others, merely plastic matter undergoing fatty degeneration.
_Colloid and melanotic_ cancers have rarely been observed in the testes.
The tunica vaginalis is said to have been attacked with cancerous
disease, the testis remaining healthy.
Public-domain text, read in full here on John Shaqi.
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