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
Why, if the cells adhering to each
other, form these unnatural sacs, is not the neighbouring cellular
texture diminished and destroyed, even when they acquire great size?
4th. If, on the one hand, the cysts are formed by the compression of
the cellular texture, and if it is true on the other, as we cannot
doubt, that their fluid is exhaled by them, it is necessary to conclude
then, that this fluid pre-exists in the organ that separates it from
the blood: I would as soon assert that the saliva pre-existed in the
parotid, &c.
The immediate consequence of the preceding reflections, I think, is,
that the common explanation of the formation of cysts, is directly
opposite to the general course that nature pursues in her operations.
How, then, do these sacs arise and grow? these tumours that appear
externally, or are developed within; for there is no difference in
these two sorts of unnatural productions, except in the form. Most
tumours throw from their external surface the fluid that is separated
there. A cyst, on the contrary, exhales this fluid by its internal
surface, and preserves it in its cavity. Suppose a fungous, suppurating
tumour, suddenly becomes a cavity, and suppuration is carried from the
external surface to the walls of this cavity; this will be a cyst.
On the other hand, suppose a superficial cyst, the cavity of which
is obliterated, and the fluid of which is exhaled upon the external
surface; this will be then a suppurating tumour.
As the form, then, establishes the only difference between tumours and
cysts, why should not the formation of one be analogous to that of
the other? Surely, no one ever thought of attributing to compression,
the formation of external or internal tumours. We may conceive of the
production of cysts in the following way; they begin to be developed
and grow in the midst of the cellular organ, by laws very analogous
to those of the general increase of our organs, and which seem to be
aberrations, and unnatural applications of these fundamental laws, of
which we are ignorant. When the cyst is once characterized, exhalation
commences; at first scanty, it afterwards increases as the cyst
grows. The increase of the exhalant organ, then, always precedes the
accumulation of the exhaled fluid, so that other things being equal,
the quantity of suppuration in a tumour is in a direct ratio to its
size.
ARTICLE SIXTH.
DEVELOPMENT OF THE CELLULAR TEXTURE.
I. _State of the cellular system in the first age._
Public-domain text, read in full here on John Shaqi.
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