The pathology and surgical treatment of tumors . on of the primary tumor. If the tumor starts in the neighbor-hood of a finger-nail or a toe-nail, amputation is preferable to excis-ion. In sarcoma of the skin occurring in other parts of the body,whether pigmented or not, the incisions should be made at least aninch distant from the visible and palpable margins of the tumor. Itis very doubtful whether anything can be gained from an operationafter extensive regional infection has occurred. Such cases should betreated by sterilized cultures of the streptococcus of erysipelas admin-istered subcuta
The pathology and surgical treatment of tumors . on of the primary tumor. If the tumor starts in the neighbor-hood of a finger-nail or a toe-nail, amputation is preferable to excis-ion. In sarcoma of the skin occurring in other parts of the body,whether pigmented or not, the incisions should be made at least aninch distant from the visible and palpable margins of the tumor. Itis very doubtful whether anything can be gained from an operationafter extensive regional infection has occurred. Such cases should betreated by sterilized cultures of the streptococcus of erysipelas admin-istered subcutaneously. Submucous Connective Tissue.—As a primary tumor of the sub- 570 PATHOLOGY AND TREATMENT OF TUMORS. mucous connective tissue sarcoma is an exceedingly rare tumor. Thetumor in this locahty does not become pedunculated: it remains ses-sile, and ulceration sets in early and progresses with the growth of thetumor. The oedema of the tumor-tissue that is almost a constant con-dition in submucous sarcoma imparts to the tumor under the micro-. FiG. 410.—Pigmented mole which ulcerated and infected the inguinal lymph-glands (after Sutton). Thepatient was sixty-five years of age. scope a myxomatous appearance at an early stage and hastens theactual myxomatous degeneration. Sarcomata of the uterus and of theintestinal canal usually begin as submucous tumors. Fascial Sarcoma.—Fascial sarcoma may appear anywhere in thedeep connective tissue; it occurs most frequently, however, between SARCOMA. Plate 13.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectneoplas, bookyear1895
