. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Westminster, 1. At theMiddlesex, Cancer, Royal Free, St. Peters, St. Marys, andSt. Thomass there was none. Malignant disease in retained testes.—It is commonlybelieved that retained testes are more liable to malignantdisease than those properly lodged in the scrotum. Thisis one of those articles of surgical faith very difficult to affirmor to deny. In 1909 there were fourteen examples available GANGER OF R-ETAINED TESTIS 549 for study in the metropolitan museums. The youngest patientwas 20, the eldest 55. S
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Westminster, 1. At theMiddlesex, Cancer, Royal Free, St. Peters, St. Marys, andSt. Thomass there was none. Malignant disease in retained testes.—It is commonlybelieved that retained testes are more liable to malignantdisease than those properly lodged in the scrotum. Thisis one of those articles of surgical faith very difficult to affirmor to deny. In 1909 there were fourteen examples available GANGER OF R-ETAINED TESTIS 549 for study in the metropolitan museums. The youngest patientwas 20, the eldest 55. Some of the tumours were large; forexample, Stabb removed one as big as an ostrichs Qgg. Ina few of these cases the testis was retained in the abdomen,but in most instances it had entered the inguinal canalWhen the tumour lies in the abdomen its ovoid shape andlateral position have led the surgeon in at least one instanceto regard the tumour as an enlarged kidney. Russell Howard has made a most satisfactory contributionto the question of the increased liability of a retained testis. Fig. 290.—Diagram showing the position and relations of the lymph-glandsassociated with the testicles. The results were obtained by means of fineinjections. {After Most.) to become the seat of malignant disease. He states that, in aperiod of twenty years, fifty-seven consecutive cases of malig-nant disease of the testis were treated in the London Hospital:the malignancy of the tumours was substantiated by a micro-scopic examination. Among this number, in nine cases thetestis was retained in the inguinal canal, giving a proportionof nearly 16 per cent. This is certainly a higher proportionthan obtains in men with normally descended testes. In addition to malignant disease occurring in retainedtestes, mention must be made of cancer and sarcoma arising 550 TUMOURS OF THE TESTIS in the ill-developed gonads of individuals with their genitaliaso malformed as to come into the class known as pseudo-herma
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
