Clinical lectures on the principles and practice of medicine . geons, viz., that certain growths,abounding in cells, have a great disposition to infiltrate themselves amongmuscles and neighboring parts, and may be detected there by the micro-scope, although invisible to the naked eye. In one case I found numerousgranules and commencing cells in the muscles of the tongue below anepithelial ulcer, though it seemed healthy (Fig. 232); and in the sterno-mastoid muscle, covering a tumor of the parotid gland, clumps of nuclei * Cancerous and Cancroid Growths, p. 233. f Velpeau, Traite des Maladies d
Clinical lectures on the principles and practice of medicine . geons, viz., that certain growths,abounding in cells, have a great disposition to infiltrate themselves amongmuscles and neighboring parts, and may be detected there by the micro-scope, although invisible to the naked eye. In one case I found numerousgranules and commencing cells in the muscles of the tongue below anepithelial ulcer, though it seemed healthy (Fig. 232); and in the sterno-mastoid muscle, covering a tumor of the parotid gland, clumps of nuclei * Cancerous and Cancroid Growths, p. 233. f Velpeau, Traite des Maladies du Sein, etc., 1854; and 2d edition, 1S58, in thepreface to which are enumerated, p. xxx, no lass than 23 cases which up to the closeof that year remained well. See also note at the c jnclusion of this article. 240 PRINCIPLES OF MEDICINE. were developed, and the fasciculi of the muscle were converted into fibres. (Fig. 303). In this case themuscle lookedpale and atro-phied, but ex-hibited no ap-pearance of be-ing infiltratedwith cancer. It followsthat in many. mjjjjjd^/^ WlMMaMMlMdlijUf^f^^^^^S Fig- 303 cases where the surgeon thinks he has removed a morbid growth, he reallyleaves multitudes of germs behind which continue to propagate the Handyside removed the inferior extremity of a boy at the hip joint, inJune 1843, for cancer of the femur. I carefully examined a small portionof one of the upper flaps, which was subsequently cut away, on observing apiece of the tumor attached to it, and found all the muscles fatty andinfiltrated with young cancer cells (Fig. 304). Iu short, all the muscleswhich formed both flaps were already cancerous, and I told the operatorthat the disease would probably return in the stump The incisions healed
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