. Annals of surgery . exploration under ether in the hope that an inflammatory conditionmight be found and relieved. Advanced new growth existed however, replacingright kidney substance. The tumor was soft, grayish in color, and had adheredto the liver, duodenum and loops of small bowel. The peritoneal cavity was filled with free bloody fluid. Left kidney normal. Right nephrectomy after freeing tumor and thereby creating free shock noted before operation was completed. Child made an ultimateuneventful recovery. Histological Examination.—The tumor consists of lobular masses of
. Annals of surgery . exploration under ether in the hope that an inflammatory conditionmight be found and relieved. Advanced new growth existed however, replacingright kidney substance. The tumor was soft, grayish in color, and had adheredto the liver, duodenum and loops of small bowel. The peritoneal cavity was filled with free bloody fluid. Left kidney normal. Right nephrectomy after freeing tumor and thereby creating free shock noted before operation was completed. Child made an ultimateuneventful recovery. Histological Examination.—The tumor consists of lobular masses of mesenchy-mal tissue, the lobules being surrounded by a thin, loose layer of connective places these cells show attempt at the formation of atypical renal tubules, andthere are also areas consisting of myxomatous cells. Many cells seen in mitosis. Diagnosis.—Embryoma. Local recurrence large enough to \k palpable, fourmonths after operation. Death from recurrence March 3, 1923. six months after Flu. 5.—Case ill. A microphotograph of one of thecysts, to show the lining cells. The papillie are coveredwith cuboidal or high columnar epithelial cells. Theseproliferating cells arc gradually filling the cystic these cysts are layers of connective tissue, mucin-like tissue and scattered atypical tubules. GAGE AND ADA:MS Case III.—Male, age one year. American. Xornial birth and infancy, noillnesses. Two months previous to entrance childs niutlKr noted fullness inabdomen on right side below ribs. Childs operation delayed by a cough, butfinally admitted to hospital with diagnosis of probable embryoma. Urine normal,white count 16,200. Hsetnoglobin 65 per cent. P. \l. N.—28 per cent. S. L.—18 per cent. L. L.—45 per cent. Trans.—9 per cent. Temperature ncirnial. Abdominal nephrectoiuy. Severe post-operative uneventful recovery. At time of removal a diagnosis of congenitalcystic kidney was made. PathoJogical hcfil-—Diniensii
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
