. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Fis 170.—Cancerous and calculous gall-bladder in section, showing the manner inwhich the liver is infiltrated. {2Iuseuiii of St. Bartholomeivs Hospital.) in abundance, increase its vulnerability to the micro-parasiteof cancer. The relations of gall-stones to cancer vary a great deal ;in some the walls of the gall-bladder are greatly thickenedand the calculi are nested together in the centre of the other cases the gall-bladder is filled with a semi-pultaceousmass of soft white growth, and the gall-st
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Fis 170.—Cancerous and calculous gall-bladder in section, showing the manner inwhich the liver is infiltrated. {2Iuseuiii of St. Bartholomeivs Hospital.) in abundance, increase its vulnerability to the micro-parasiteof cancer. The relations of gall-stones to cancer vary a great deal ;in some the walls of the gall-bladder are greatly thickenedand the calculi are nested together in the centre of the other cases the gall-bladder is filled with a semi-pultaceousmass of soft white growth, and the gall-stones are irregularly 352 EPITHELIAL TUMOUES distributed through it. In other instances the cancerouswalls of the gall-bladder are thick, tough, and firmly con-tracted on a set of gall-stones which completely fill it; yet. Fig. 171.—Eularged gall-bladder removed from a woman aged 43 j-ears. Thecancer had burst through the fundus of the gall-bladder and imijlicated thetransverse colon. Eight inches of the latter was resected. Several hundredcalculi, consisting almost entirely of cholesterin, were joresent. the organ is free from adhesions and mobile. On the otherhand, it may be tightly contracted on a solitary gall-stone,and the cancer so infiltrate the liver that there is no obvious Tee common and hepatig ducts 353 indication of the limit between the gall-bladder and thehepatic tissue. Primary carcinoma of the gall-bladder is more commonin women than in men (three to one). The age of greatestliability is from the fiftieth to the sixtieth year. It runs aver}^ rapid course, and is usually fatal within six months ofthe onset of definite symptoms. The chief sign of the diseaseis the presence of a hard swelling in the region of the gall-bladder. Jaundice occurs in about one-third of the —
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
