A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
History
A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
Medicine -- Practice
The classification of tumors herewith presented is essentially that of
Virchow, with such extensions and modifications as have arisen in
consequence of the investigations and discoveries during the twenty
years which have elapsed since the delivery of his memorable series of
lectures. Cysts are mentioned, as well as growths, from the importance
of the former in practical medicine. The frequent simultaneous
occurrence of cysts and growths in the same tumor should be mentioned,
and the cystic feature is usually indicated as a qualification.
CYSTS.
Cavities, either new formed or pre-existing, with various contents.
The latter are blood, liquid other than blood, and gland-secretion or
retained secretion. The wall varies in structure in accordance with
the method of origin of the cavity.
{122} _Hæmatoma._
A collection of extravasated blood, usually within the tissues.
Examples, hæmatoma of the pericranium (periosteum), of the external
ear, muscle, dura mater, ovary, broad ligament, vulva, anus, uterus
(from retained placenta), hæmatocele, dissecting aneurism.
_Hygroma._
A collection of transuded or exuded fluid in pre-existing or
new-formed spaces. Examples, hydrocele, hydromeningocele,
hydromyelocele, hydrencephalocele, ganglion, inflamed bursa.
_Retention-Cyst._
An accumulation of retained secretion in follicles or canals from
obstruction to its escape. Examples, atheroma and comedo of the skin,
mucous cysts of the gastro-intestinal mucous membrane, ovula Nabothi,
and cystic polypus of the uterus; retention-cyst of the antrum,
vermiform appendage, gall-bladder, and bile-ducts; dropsical
dilatation of the ovarian follicles, Fallopian tube, uterus
(hydrometra), parovarium (cyst of the broad ligament); hydronephrosis
and multilocular cystic kidney, spermatocele, ranula, galactocele.
* * * * *
The growths are classified according to the tissues of which they are
chiefly composed and from which they originate, and according to their
etiology. There are consequently the connective-tissue group; that of
tissues of higher function, as muscle, nerve, and vessels; and the
epithelial group, in which the new formation of epithelium is the
essential feature. The teratoid group comprises a more complex massing
of tissues, representing a combination of those derived from all the
germinal layers of the embryo. The infective group includes those
tumors whose structure is closely allied to that of the products of
inflammation, but whose origin is the direct result of the
introduction from without of a microphyte.
CONNECTIVE-TISSUE GROUP.
Each member mainly composed of a more or less typical growth of a
connective tissue:
Myxoma,
Lipoma,
Glioma,
Chondroma,
Fibroma (including papilloma and melanoma),
Osteoma.
To these are added tumors composed of an atypical growth of a
connective tissue, chiefly manifested by a predominance of cells:
Endothelioma,
Sarcoma.
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