. Annals of surgery . itoses are fairlynumerous. The muscularfibres in contact with theposterior surface of thegrowth have been con-siderably invaded, showing that the growth is not limited by a capsule. In theselocations the muscle fibres are smalt and nearly atrophied. Sections of the largenode show the same type of growth. Other smaller nodes show chronic inflam-mation without metastases. The growth appears to be a lymphosarcoma of thetype originating in the lymphoid tissue and is evidently malignant judging fromits invasive quality. months after operation, this patient again felt the
. Annals of surgery . itoses are fairlynumerous. The muscularfibres in contact with theposterior surface of thegrowth have been con-siderably invaded, showing that the growth is not limited by a capsule. In theselocations the muscle fibres are smalt and nearly atrophied. Sections of the largenode show the same type of growth. Other smaller nodes show chronic inflam-mation without metastases. The growth appears to be a lymphosarcoma of thetype originating in the lymphoid tissue and is evidently malignant judging fromits invasive quality. months after operation, this patient again felt the sensation of a lumpin her throat but this time on the left side, and had gradually increasing difficultyin swallowing. She noted an enlargement of the left tonsil. Two months later(eight months after the operation) she presented herself with an exact counter-part of the original condition which had existed upon the right side. Cervicalglands had been noticed three weeks before. The left tonsil was greatly enlarged 115. Fig. i. -Patient three yeare after first operation and two ycand four months after second operation. CORRESPONDENCE and showed the same cauliflower growth. Exactly the same operative procedurewas carried out upon the left side, September 20, 1920, eight and one-half monthsfollowing the first. The patient left the hospital fifteen days after the operationand again received radium treatment. The second report of the pathologist is a duplicate of the first. Diagnosis,lymphosarcoma to tonsil and cervical nodes. Microscopical examination—sectionsof the tonsil show none of the normal follicular arrangement but a diffusegrowth of rather large round cells somewhat resembling lymphocytes and occupy-ing the position of a tonsil being still covered in some areas with stratifiedepithelium. There is only a very delicate stroma which carries the blood-vesselsand the cells are arranged diffusely and form a very cellular tissue, the type ofa lymphosarcoma. The smaller lymph-no
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
