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.
Morbid Growths.
=Cancer.= Malignant disease of the lungs is by no means frequent, yet we
have abundant evidence that cancer in its several forms may be developed
in these organs. Colloid cancer, has been usually found more or less
infiltrated through the substance of the lungs, while other forms appear
in nodules or isolated tumors.
It is seldom, perhaps, that cancer exhibits itself as a primary
affection of the lungs, the disease first appearing in some other part,
and more frequently, it is said, in the bones or testicles; operation
for the removal of cancer in these parts being very liable to be
followed by an early development of the disease in the lungs or other
internal organs. On the other hand, where the cancer is connected with
any organ whose veins form a part of the portal system, as the stomach,
spleen, pancreas, intestines, etc., the disease does not so frequently
extend to the lungs, while in those cases the liver is more liable to
become affected.
The _encephaloid_ form of cancer, is that more frequently met. It may be
connected either with the bronchial glands, when the diseased mass will
be mainly confined to the mediastinum, and may consist of bodies varying
in size from that of a cherry to that of a large apple, or, the disease
may commence directly in the substance of the lungs, the tumor rapidly
increasing in size, and crowding the lungs from their normal position.
After death, the encephaloid mass may be found compressing the lungs
into a very small space. The tumor presents the usual character of this
disease, some of the lobules being soft and pulpy, or brain-like, others
of a more firm, cheese-like consistence.
=Melanosis.= Two forms of melanotic deposits are observed in the lungs:
one, _true melanosis_, and frequently associated with encephaloid
disease; the other a deposit of carbonaceous matter from coal dust,
smoke, etc., which has been inhaled during life, and distinguished as
_spurious melanosis_.
_True melanosis_ consists in a deposit of a dark pigmentary matter in
the substance of the bronchial glands, found at the bifurcation of the
trachea, and along the main bronchi. The glands are at the same time
enlarged. The coloring matter may be solid, or slightly fluid, or pasty.
At the same time the melanotic matter may be infiltrated to some extent
into the substance of the lungs, or deposited in cysts within the same.
In _spurious melanosis_, the dark carbonaceous matter is diffused more
or less through the whole lung, and may be seen distinctly through the
pleura. The bronchial mucous membrane is more or less tinged with the
same substance, and generally a quantity of black-colored fluid may be
expressed from the cut surfaces.
=Hydatids.= Acephalocysts or animal hydatids, have not unfrequently been
found in the lungs, and in several instances they have been discharged
by expectoration.
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