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.
The _Spindle-celled Sarcoma_, called also the fibro-plastic and
recurring fibroid, is most closely allied to the fibroma. It consists
essentially of fusiform cells, with well-marked nuclei and thin
processes, sometimes split at the end. They are nearly in close contact,
there being but little intercellular substance. The cells are parallel
and arranged in bundles, which pass in all directions through the
growth. “When cut, this sarcoma grates under the knife, and the surface
exhibits a firm, tough, greyish or pale-yellowish appearance, similar to
that of ordinary fibrous growth. After removal, they are softer and more
succulent when they recur.”
They grow from the periosteum, the fasciæ, and from the connective
tissue in other parts. They are more frequently enclosed in a capsule
than the other varieties.
The _Giant-celled Sarcoma_, called also the _myeloid_ sarcoma, most
frequently occurs in connection with bone. They consist of large, many
nucleated cells, mingled with round or spindle forms, nearly in contact,
there being but a sparse intercellular substance. On section, the
surface appears smooth, compact, shining, greyish-white or greenish,
with blotches of a dark crimson, brownish or pink hue.
The giant-celled sarcoma is not a benign affection, but is the least
malignant of the sarcomas.
2. =Carcinomatous Tumors.= “The _Carcinomata_ are new formations,
consisting of cells of an epithelial type, without any intercellular
substance, grouped together irregularly within the alveoli of a fibrous
stroma. The cells are characterized by their large size, by the
diversity of their forms, and by the magnitude and prominence of their
nuclei and nucleoli. In size they vary from ¹⁄₆₀₀ to ¹⁄₁₅₀₀ of an inch
in diameter, the majority being about five times as large as a red
blood-corpuscle. They are round, oval, fusiform, caudate,
polygonal—exhibiting, in short, every diversity of outline. The nuclei,
which are large and prominent, are round or oval in shape, and contain
one or more bright nucleoli.” There is generally but a single nucleus,
two, however, are often met with, and they are even still more numerous
in the soft varieties of cancer.
The stroma varies in amount. It consists of a fibrillated tissue,
forming by their peculiar arrangement, alveoli of various sizes and
shapes, in which the cells are grouped. The stroma varies in character
according to the rapidity of its growth. Where its growth is rapid, it
will contain numerous round and spindle-shaped cells; where it is slow,
or has ceased altogether, the tissue will contain but few cells, and
will be dense and fibrous in character. The latter condition is most
frequently met with.
The blood-vessels are sometimes very numerous, and are always limited to
the stroma, and never encroach upon the alveoli. This serves to
distinguish the carcinomata from the sarcomata, since in the latter the
blood-vessels ramify amongst the cells of the growth.
Public-domain text, read in full here on John Shaqi.
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