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.
6. =Cartilaginous Tumors.= The _Enchondromata_, histologically resemble
cartilage, and like it consist of cells and an intercellular substance,
presenting all the variations observed in the normal tissue. The
intercellular substance may be hyaline, fibrous, or mucoid, or as most
frequently is the case, all combined. The cells are round, oval,
spindle-shaped or stellate, and may be very numerous, or few in
proportion to the matrix. They enclose one or more nuclei, and slightly
granular contents; sometimes a cell-wall cannot be distinguished.
In addition to the intercellular tissue, the growth is usually divided
into several lobes by bands of fibrous tissue. The fibrous tissue in
most cases, forms a capsule around the tumor, and separates it from the
surrounding structures.
The enchondroma is met with most frequently in early life, and occurs
chiefly in connection with the osseous system, principally the
metacarpal bones, and phalanges of the fingers, where it may grow either
from the periosteum or from the medulla. It is met with also in the
parotid and submaxillary glands, in the testicle, mammæ and ovary, and
occasionally in the subcutaneous and intermuscular cellular tissue.
They may attain an enormous size. “To the hand, it imparts the sensation
of unusual firmness and solidity; it is destitute of elasticity, is
generally distinctly circumscribed, and is nearly always strongly
adherent to the tissues from which it springs.”
Calcification and ossification of these tumors may occur. In rare cases,
the skin covering the tumor ulcerates, and a fungating mass protrudes.
Although in general an innocent growth, the enchondroma in some
instances, assumes a malignant form, and recurs after extirpation.
7. =Osseous Tumors.= The _Osteomata_ are tumors consisting of osseous
tissue, met with chiefly as outgrowths of the skeleton, especially of
the external and internal surfaces of the skull, and of the thigh bone.
There are three classes, the soft, spongy or cancellous, the compact,
and the eburnated osteoma.
The _spongy_, which is the most common, consists of cancellous osseous
tissue. The medullary spaces may contain embryonic tissue, a fibrillated
tissue, or fat. “In its earlier stages, it is often invested by a layer
of cartilage, of a greenish, whitish, slightly bluish, or pearly aspect,
and of a hyaline character. Sometimes it is enclosed by a thin, fibrous,
or fibro-cellular capsule, a form of synovial bursa, lubricated by
serous or sero-oleaginous fluid.”
The _compact osteoma_ is generally more or less rounded, with a
nodulated surface, and a broad base. It is of a firm, bony consistence,
and resembles, as nearly as possible in structure, the compact tissue of
the long bones, differing only in the arrangement of the Haversian
canals and canaliculi, which is less regular than in normal bone.
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