. Annals of surgery . ony structure andhad caused fracture of this rib. The tumor was oval in size and measured 16 MULTIPLE MYELOMA OF THE PLASMA-CELL TYPE cm.; it projected but slightly above the surface of the rib. Its cutsurface was generally pale, gray-white and not unlike the cut surface of a lymphgland; there were, however, here and there deep red, soft, hemorrhagic areas. Twosimilar tumors were present in the seventh right rib, one about 4 cm. from itscostal articulation, the other about 6 cm. from its junction to the vertebral still larger neoplasm was located in the f
. Annals of surgery . ony structure andhad caused fracture of this rib. The tumor was oval in size and measured 16 MULTIPLE MYELOMA OF THE PLASMA-CELL TYPE cm.; it projected but slightly above the surface of the rib. Its cutsurface was generally pale, gray-white and not unlike the cut surface of a lymphgland; there were, however, here and there deep red, soft, hemorrhagic areas. Twosimilar tumors were present in the seventh right rib, one about 4 cm. from itscostal articulation, the other about 6 cm. from its junction to the vertebral still larger neoplasm was located in the fifth left rib; it was oval in size,measured cm., began 4 cm. from the costal junction and extended cm. through the body of the bone. (Fig. i.) Apparently it completelyreplaced the bony structures; its cut surface was much like that of the first tumordescribed, that is, it appeared like that of a lymph-node with hemorrhagic softenedareas. None of these larger tumors was well circumscribed but had a vague. Fig. 2.—Multiple myeloma. Section throuKh the bodies of the lumbar (thickerportion) and the thoracic vcrtcbrx (thinner portion). The tumor has almost com-pletely replaced the bodies of the vertebrae and partly .invaded the cartilage. Themottled pale and reddish appearance of the tumor masses and the sharp contrast withthe white intervertebral disk is well brought out. periphery. Practically all of the other ribs contained small tumors. These weresometimes circumscribed, sometimes ill-defined; frequently their presence couldonly be demonstrated because at certain points the ribs fractured readily. The iliac bones when dissected clean appeared normal on the outside, except-ing that there were a number of smooth, non-elevated, reddish areas. These provedto be the surfaces of small tumors, which varied from 2 mm. to 10 mm. indiameter; they were scattered throughout all of the pelvic bones and at their siteit was easily possible to push a blunt instrument through th
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
