General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
There is after death a great difference between an acute and chronic
tumour, between that produced by growth and that by infiltration.
In fact, one remains the same, and preserves, until putrefaction,
its size, its form, and its density, like all the organs. The other
sinks away, as I have remarked, by the loss of the vital forces. This
subsidence varies; if the tumour is nothing but the cellular inflation
of which I have spoken, and which is so common in external injuries,
it entirely disappears; if, besides this inflation, there is an
accumulation of blood, as in carbuncle, phlegmon, &c. a portion of the
tumour remains, though always much diminished in size. It is generally
in this inflation, of the immediate cause of which I am ignorant, that
the subsidence especially takes place. Let us pass to a function of the
cellular texture not less important, and which is very analogous to
this.
_Influence of the cellular texture in the formation of cysts._
A cyst is a membrane, in the form of a sac without an opening, which
is accidentally developed, and which, containing fluids of a different
nature, has been on this account divided into many species. The cysts
are formed from the cellular texture; they arise in its cells, grow in
the midst of them, and have all its characteristics.
To be convinced of the influence of the cellular system in the
formation of cysts, it is sufficient to prove that between them and the
serous membranes, there is the greatest analogy, and almost identity;
for we shall see that these membranes are essentially cellular. The
following are some of the analogies of these two kinds of productions,
the one of which is natural and the other accidental.
1. Analogy of conformation. The cysts form all kinds of sacs without an
opening, containing a fluid that is exhaled from them, having a smooth,
polished surface contiguous to this fluid, an uneven, loose one,
continuous with the neighbouring cellular texture.
2. Analogy of structure. Always formed of a single layer, like serous
membranes, cysts have like them a cellular texture, as is proved
by maceration and inflation. Thus they constantly arise in the
midst of the cellular organ, usually where it is most abundant. Few
blood-vessels enter them; the exhalant system is conspicuous there.
3. Analogy of the vital properties. There is no animal sensibility in
them in an ordinary state, but it is very evident in inflammation;
organic sensibility is always remarkable in them, and tone, which is
characterized by a slow and gradual contraction, in consequence of the
artificial or natural evacuation of the contained fluids, &c.; these
are the characters of cysts, they are also, as we have seen, those of
serous membranes.
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