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.
They may be unilocular, usually filled with a solid mass of a
fibro-cellular or fibro-cartilaginous character; or multilocular, with
thin and serous, sero-sanguinolent, viscid or dark-colored contents,
often associated with central, fibrous growths.
_Hydatid cysts_ have been met with. According to Stanley, both the
acephalocyst and the cysticercus cellulosæ have been found, but more
frequently the former.
=Tubercles= are occasionally present in bone, as the yellow, opaque
tubercles, deposited chiefly in the spongy bones and the cancellous
portions of long bones. They may soften or become cretified.
=Vascular Tumors= are of not very frequent occurrence. They are met with
most commonly in the cancellous articular ends of the long bones;
although they have also been found in the pelvic bones, the bones of the
skull, and in the ribs.
In the most frequent class of cases, a new tissue is developed in the
osseous structure, and the tumor partakes of an encephaloid character. A
creamy, curdy or brain-like, soft, and very vascular mass, is formed as
the essential constituent. This will be found to present every shade of
transition, from a purely vascular tissue, of an erectile character, to
true encephaloid cancer.
In a second, more rare form of disease, there is developed in the bone a
_vascular_, _erectile_ growth, closely resembling capillary nævus in its
structure, composed of an infinity of blood-vessels, interlacing in
every possible way, so as to form a soft, reddish-yellow tumor.
In a third form, a hollow cavity is formed in the bone, scooped out of
the cancellous structure and filled with blood, partly liquid and partly
coagulated, and having arterial branches freely opening into it.
According to the stage of the disease, the blood is found in cells,
intersected by fibres, or laminæ and fibres, the remains of the original
osseous structure; or in a more advanced stage, in a single cavity. The
shell of bone surrounding the cavity is very thin and expanded, being
usually absorbed at one point, where it often becomes at last
perforated. This last class constitutes _true aneurism_ of bone.
_Cephalohæmatoma_, met with in infancy on the cranial bones, as a result
of pressure during parturition, is an effusion of blood between the
pericranium and the bone, commonly occurring on one of the parietal
bones, most frequently on the right side. Rare cases of internal
cephalohæmatoma have been recorded in which the effusion took place
between the dura mater and the bones.
=Cancer= of bone most frequently occurs in the head of the tibia and the
lower end of the thigh bone, occasionally in the humerus and in the
jaws, more especially about the antrum.
The encephaloid variety is the most frequent. It is of two distinct
forms: in the one, the morbid growth is central, springing from the
medullary canal; in the other, it is peripheral, being attached to the
compact osseous substance.
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