Scientific American Supplement, No. 648, June 2, 1888.Various
Science
Scientific American Supplement, No. 648, June 2, 1888.
Various
Science -- Periodicals
_Case 2._--A man, aged fifty, was obliged to exert a strong pressure in
order to empty the bladder. The flow of urine often stopped. He himself
introduced a catheter, and on withdrawing it a piece of villous tissue was
found. On Dec. 10, 1886, I saw, on cystoscopical examination, directly and
immediately over the internal orifice of the urethra, a villous swelling
hanging from the anterior wall of the bladder. (See Fig. 2.) On Jan. 15,
1887, extirpation of the tumor by means of the high section was performed
by Professor v. Bergmann. The size of the tumor (which was as large as a
pigeon's egg) and its position corresponded exactly to the endoscopic
picture. The patient recovered.
[Illustration: FIG. 3.]
_Case 3._--A patient under the care of Professor Madelung, aged
fifty-five, suffered from attacks of hæmaturia. Examination by sound and
rectal palpation had given me negative results. On Feb. 20, 1887,
cystoscopical examination was made. On the left side of the trigone a
tumor with a broad base was seen, which resembled somewhat a strawberry in
size and form. (See Fig. 3.) On March 1, Professor Madelung undertook the
extirpation of the tumor. The appearance corresponded exactly to the
cystoscopic picture. The patient recovered.
[Illustration: FIG. 4.]
_Case 4._--This was a patient on whom Dr. Israel had performed the high
section a long time before, on account of a bladder tumor. The extent was
so great that only its most prominent part could be removed. The
microscopical examination proved the diagnosis of cancer. Quick healing
took place. The patient became free from pain, and the urine became clear.
In order to see what had become of the remaining part, the cystoscopical
examination was undertaken on April 3. It was easy to see that the right
lateral wall was covered to an extent of from three to four centimeters
with thick masses of verrucous and fungiform excrescences. (See Fig. 4.)
[We omit the description of the additional cases.]
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