. Annals of surgery . ogenic origin of thistype of growth, regarded this earlier work as unreliable, since he himself hadbeen unable actually to demonstrate this transition. Thus, although the classification of testicular tumors has become greatlysimplified, there have arisen two opposing schools, one maintaining that forpractical purposes there exists only one tumor of the testicle, namely, a tera-toma. (OCrowley and Martland, Ewing, Wilms, Pick, Ribbert, etc.,)the other maintaining that a large proportion of testicular tumors arepure tumors ( seminomes I derived from the cells of the spermat
. Annals of surgery . ogenic origin of thistype of growth, regarded this earlier work as unreliable, since he himself hadbeen unable actually to demonstrate this transition. Thus, although the classification of testicular tumors has become greatlysimplified, there have arisen two opposing schools, one maintaining that forpractical purposes there exists only one tumor of the testicle, namely, a tera-toma. (OCrowley and Martland, Ewing, Wilms, Pick, Ribbert, etc.,)the other maintaining that a large proportion of testicular tumors arepure tumors ( seminomes I derived from the cells of the spermatic tubules4j 773 KUTZMAKX AND GIBSON (Chevassu, Frank, Scliultz and Eisendrath. Sakagiichi, \ecchi. Birch-Hirschfekl, Tizzimi. Talavera. Geist and Thalheinier, Hardmiinand Patel, etc.). There is probably no field in pathology where more divergent views havebeen and still are current. A survey of the literature shows that oncologicalterniinoloiiy has been just about exhausted in supplying diagnoses for cases. i iw .^ — L-jii luTiK showing the tumor invasion, extension within alveolar walls (aJ distortionand collapse ol alveolar spaces (b) eosinophilic epithelial cells (c) Giant Cells. reported in spite of such contributions as that of Ewing. We cannot there-fore emphasize too strongly the importance of a more general knowledge ofthe pathology of testicular tumors. This would seem to indicate that thereexists two large groups, the teratomata (heterologous tumors) and the seminomes (homologous tumors), while tumors of other types areextremely rare. The following classification, which is borrowed from thenoteworthy article by Schultz and Eisendrath (1921), is proposed as themost logical and complete in our present knowledge of the subject: 774 MALIGNANT TUMORS OF THE TESTICLE IN CHILDREN I. Homologous Tumors: A. Benign: 1. Epithelial: (a) Adenoina of the seminal tubules [the tumors of Chevassuand of Pick (Ewing)].2. Mesoblastic: (a) Fibroma, arising in the tunica (the
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
