. Diseases of the gall-bladder and bile-ducts, including gall-stones . ousmembrane in a polypoid form (Fig. 34). No. 2,266a, St. Bartholomews, also shows an epithelio-matous papillary growth in the gall-bladder, and secondarycancerous growths in the liver. No. E 308, Leeds Museum, shows a similar condition (Fig. 35)- No. 2,264, St. Bartholomews, shows a gall-bladder con-verted into a mass of medullary cancer, in the centre ofwhich are four faceted gall-stones. The pylorus is was taken from a woman of fifty-nine, who suffered from adilated stomach, but had no serious symptoms until
. Diseases of the gall-bladder and bile-ducts, including gall-stones . ousmembrane in a polypoid form (Fig. 34). No. 2,266a, St. Bartholomews, also shows an epithelio-matous papillary growth in the gall-bladder, and secondarycancerous growths in the liver. No. E 308, Leeds Museum, shows a similar condition (Fig. 35)- No. 2,264, St. Bartholomews, shows a gall-bladder con-verted into a mass of medullary cancer, in the centre ofwhich are four faceted gall-stones. The pylorus is was taken from a woman of fifty-nine, who suffered from adilated stomach, but had no serious symptoms until a monthbefore death. She was never jaundiced. Extension of the growth is usually by continuity, the liveras a rule being first affected by its spread; but the colon veryfrequently is the organ first attacked when the growth hasoriginated at the fundus of the gall-bladder. Where the tumourarises at the neck, the pylorus, as might be expected from theanatomical relations, is not infrequently soon affected, andthere may follow all the symptoms of cancer of the h-J
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