Others, being of a more loose and spongy texture, have been called
cancellated. These are commonly formed by the bones of the extremities,
and often attain a very considerable size; they grow from the
periosteum, or from the outer surface of the bone, and are then
covered by an expansion of this membrane. Sometimes they adhere by a
narrow neck, and expand into a bulbous form, so that they can be very
readily removed by operation, and are very apt to be broken off by
external injury. Others have a broad and firmer attachment, and are of
an irregular shape, often projecting in the form of a large spicula,
and at other times assuming a somewhat stalactical appearance. Such
frequently prove the source of much inconvenience, by impeding the
motions of the muscles, or disturbing the functions of any adjoining
organ. They possess no malignant disposition, but are under the same
laws, though perhaps in a less degree, with their parent trunk.
On making sections of exostoses, and of the bones from which they
arise, some appear to be mere enlargements or processes of the
parent bone, the cancellated tissue extending itself so as to form
the interior of the exostoses, whilst the exterior resembles a
proportionate extension of the outer lamina. Others are evidently
formed by the deposition of osseous matter externally to the outer
lamina, many being dense and compact throughout, others containing an
internal cancellated structure, but which is not continuous with that
of the bone, as it is separated by the natural outer lamina. Their
formation appears similar to that of the fœtal bones: a glutinous
matter is effused, becomes dense, and is converted into cartilage;
bloodvessels shoot into it, ramify throughout its whole structure in a
radiated form, and deposit osseous matter. This deposit increases, and
extends from a central nucleus towards the circumference; the cartilage
is in part absorbed, and the new structure becomes osseous, and similar
to the original tissue by the vessels of which it was formed. These
tumours, even when they have attained a large size, contain a mixture
of bone and cartilage, covered by a dense fibrous investment. The bony
matter is arranged in spicula, adhering to the surface of the shaft or
head of the bone, and projecting into the morbid mass: the spaces are
filled up by a cartilaginous substance. The growth is sometimes rapid,
and the tumour soon becomes troublesome from its immense size.
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