by the whitish bands, which sometimes appear to be much thickened,
and coated with a membranous lining. The term gelatiniform cancer has
been applied to that kind in which the reticulated texture is filled
with glairy-looking fluid. Frequently, as has been already observed,
the external cyst or covering becomes assimilated to the substance
of the tumour, and the ligamentous bands then shoot forward into
the surrounding tissues, more especially the cellular and adipose,
establish a new footing for the disease, and thereby gradually enlarge
the boundaries of the original tumour. All parts in its immediate
neighbourhood become affected, and none withstand its morbid and
destructive influence; bone, muscle, ligament, skin, and membrane, are
successively or simultaneously involved; and even the bloodvessels and
nerves. From what has been already said, it is almost superfluous to
add that the tumour is most malignant, incessantly encroaching on the
neighbouring parts, and imparting to them its own disposition; and this
too frequently continues to exist after the removal of the primary
source of the evil. The disease, in its commencement, occupies a
minute and limited space, composed, it has been said, of enlarged and
varicose capillaries, interspersed with the peculiar matter of cancer.
It would even seem that these dilated aneurismal or varicose vessels,
in morbid growths, are from the first gorged with what has been called
heterologous matter. Judging from the imperfect account which has
yet been given of them, it would appear, from the observations of
Mr. Kiernan, that cancerous growths are entirely vascular in their
early stages,—composed, in fact, of capillaries filled with cancerous
matter, which shoot from the free surfaces of membranes in a flocculent
or villous form, having no albuminous matrix, as has been commonly
imagined in regard to adventitious growths generally; the progress
of the cancerous tumour appearing to depend on the multiplication of
the capillaries, their becoming remarkably varicose, tortuous, and
dilated, the dilatation being accompanied by thinning, by more or less
absorption of their coats, so as to allow of the escape partially of
the accumulated matter from their cavities. Thus may be formed a tumour
of unlimited extent. As the secerning vessels are excited to undue
action in all cases where they have to form and supply preternatural
growths, it is to be expected that they will in such cases become
enlarged. Accordingly, the enlargement both of the smaller arteries
and veins in tumours, generally, is a fact with which surgeons who
have been in the habit of operating on such parts must be familiar.
Farther, the enlargement of the capillaries in inflammation has been
shown by the experiments of Hastings, and Thompson; and Mr. Gulliver,
who informs me that he has seen pus in the capillaries of a suppurating
surface, remarks, in regard to the observation of Professor Müller, as
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account