A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . ss are non-malignant; and when any of them,such as fibroma, enchondroma and osteoma, occasionally assume a ma-lignant expression, it is found on microscopic examination that they arewholly, or in part, sarcomatous. This accords with the well-knownfact that a tumor may present in its different parts the structure of sev-eral varieties of morbid growth. Fibromas or Fibrous Tumors. These growths may be divided into soft and hard fi


A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . ss are non-malignant; and when any of them,such as fibroma, enchondroma and osteoma, occasionally assume a ma-lignant expression, it is found on microscopic examination that they arewholly, or in part, sarcomatous. This accords with the well-knownfact that a tumor may present in its different parts the structure of sev-eral varieties of morbid growth. Fibromas or Fibrous Tumors. These growths may be divided into soft and hard fibromas. Theformer grow somewhat rapidly, are smooth, rather soft and elastic, andoften pedunculated; they are at times diffuse, though often circum-scribed and encapsulated, and give rise to no pain or inconvenienceexcept from their weight. On section they occasionally exude a largeamount of serous fluid. The hard fibrous tumors are of slow growth,and are smooth, firm, usually single, generally movable unless havingbony attachments, painless and encapsulated. Fibromas, as a rule,have few vessels ; but they are occasionally very vascular, and then, as 94 Blip i^w Fibroma of the ovary. X 250. (Schmaus.) Fig. 19. the fibrous surroundingsof the vessels prevent re-traction and contraction,severe hemorrhage mayfollow their removal. Fi-brous tumors originatefrom the fibrous tissue ofthe skin, connective tis-sue, subcutaneous andsubmucous tissue, peri-osteum, fascias, nerve-sheaths, and other struc-tures ; and are found inmany situations. Theyconstitute one form ofepulis, a variety of naso-pharyngeal polypus, andthe so-called false neu-roma. The last is a fibroma developed from the connective tissue inthe nerve and having nerve fibers spread over its surface. Such tu-mors are often multiple, and are painless. The painful subcutaneoustubercle is considered bysome a fibroma which hasno demonstrated connec-tion with nerve fibers;others think it is a trueneuroma, or nerve


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