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.
=Cystic Disease of the Testis.= The cysts may be but few, or very
numerous. The testis is proportionately enlarged, indurated, of a
yellowish-white and opaque appearance, and studded with cysts varying in
size. The contents are, in the younger cysts, a clear, amber-colored
fluid; in the older ones, more thick, viscid, highly albuminous, and of
a brownish color. The cysts are sometimes imbedded in solid stroma,
probably of fibroid tissue; sometimes small masses of enchondroma are
found between them. When of an innocent character, the cystic disease is
characterized by the presence of tessellated epithelium in the cysts;
when malignant, by the presence of nucleated cancer cells.
“Occasionally cystic tumors of the testicle are met with, in which the
substance of the organ is atrophied or absorbed, and its place occupied
by one or more large thin-walled sacculi containing fluids of different
color and consistence, dark or fatty.”
=Tubercles= are not very unfrequent, and appear sometimes in the body of
the gland, but oftener in the epididymis, whence they may spread to the
testis. They occur as gray granulations, infiltrated or encysted, and
varying in size from a pin’s head to a plum-stone. They are commonly
found in all stages of development and disintegration in the same organ.
Their presence in and between the tubuli produces inflammation,
suppuration and disorganization of the structure of the testis, with
which they become mixed, so as to form a cheesy mass of a dirty buff
color. This may, by ulceration, perforate the scrotum, and protrude as a
fungous growth of a pale, reddish-yellow granular mass. This disease of
the testis is frequently found in connection with pulmonary tubercle, or
general tuberculosis.
_Tubercular syphilitic sarcocele_, described by Hamilton, of Dublin, is
a variety occurring in an advanced stage of constitutional syphilis.
“_Cretaceous matter_ is occasionally met with in the testis, doubtless
the residue of tuberculous deposit which has softened and undergone
calcareous change.”
=Tumors.= _Fibroid tumors_ of small size are sometimes found developed
within the visceral layer of the tunica vaginalis, or within the
substance of the cord.
_Fatty tumors_ may be found, which have originated within the tunica
albuginea, the dartos, or within the fibrous connective tissue of the
cord.
_Cartilaginous tumors_ of small size, originate with the substance of
the gland, and are frequently associated with cystic disease or cancer.
Section IV. THE SEMINAL VESICLES AND PROSTATE.
[=Notice=: 1. _Seminal vesicles_—present or absent; size; distended or
empty; contents. Condition of mucous lining; inflamed, thickened,
ulcerated, perforated; tubercular deposits, etc. 2. _Prostate
gland_—abnormalities; size; density; enlargement of middle or lateral
lobes; color of section; appearance of inflammation; abscess; tumors;
cancer; tubercle. _Contents of ducts_—calculi: their position, size,
etc.]
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