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 sarcoma includes as many varieties as there are tissues in this
group, hence,
Myxosarcoma,
Liposarcoma,
Gliosarcoma,
Chondrosarcoma,
Fibrosarcoma, melanosarcoma,
Osteosarcoma.
{123} GROUP OF TISSUES OF HIGHER FUNCTION.
Myoma, of striped (rhabdomyoma) and smooth (leiomyoma) muscular
tissue,
Neuroma, of nerve tissue,
Angioma, of blood-vessels,
Lymphangioma, of lymphatics,
Lymphoma (?), of lymph-gland tissue.
EPITHELIAL GROUP.
Epidermis:
Callus,
Corn,
Keratosis,
Horn,
Onychoma.
Epithelium of mucous membranes or glands:
Struma (?),
Adenoma,
Cystoma.
In the above varieties the growth of epithelium is more or less
typical, a simple hyperplasia, either alone or combined with the new
formation of fibrous tissue. Only the last three members of the series
are tumors in the limited sense.
CANCER.
Cancer remains as an epithelial tumor, representing the atypical
growth of cells resembling epidermis or the epithelium of glands and
mucous membranes, extending into parts where epithelium is not found
as a normal constituent. A new formation of connective tissue is
usually associated with that of the epithelial cells.
Numerous varieties of cancer are described, according to the physical
and structural peculiarities of the tumor. The scirrhus and
encephaloid of the earlier writers are now transformed into fibrous
and medullary cancer. This change in name is due to the stress laid
upon the predominance of the fibrous stroma as the usual cause for the
hard, dense, scirrhous cancer, while an abundance of epithelioid cells
in relatively large alveoli is present in the encephaloid,
marrow-like, medullary variety.
When the growth takes place from the skin or mucous membranes, the
surface frequently presents numerous and usually arborescent papillæ
or villi. The papillary cancers of the skin and the villous cancers of
mucous membranes are thus distinguished.
Cancerous growths of the skin and transitional membranes, often called
epithelioma or cancroid, usually contain epithelioid cells resembling
epidermis, and are therefore designated as epidermoid or
pavement-celled cancer. The alveolar contents of certain cutaneous
cancers are cells resembling those of the deeper layers of the rete
mucosum, while those of other cancers of the skin resemble rather the
epithelium of sweat-glands. Growths of the former character extend
laterally, ulcerate early, and are known as superficial cutaneous
cancer. They form one of the varieties of the so-called rodent ulcer.
Cutaneous cancers, simulating in their structure a reproduction of the
epithelium of sweat-glands, represent a variety of glandular cancer.
The latter term is applied to cancerous growths which arise in
glandular organs, with suggested resemblances of their cells to the
gland-cells of the respective organ. {124} Cylindrical-celled cancer
is frequently met with in those parts of which a cylindrical
epithelium is a normal constituent.
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