. Tumours, innocent and malignant; their clinical characters and appropriate treatment. rve. Before operation the growth simulated asarcoma. (Fig. 10.) 9. Meningeal lipomas.—Fatty tumours occur within thespmal dura mater, as well as externally to this growing within the sheath they surround the cord:Gowers, Recklinghausen, and Obre have recorded the cases described by the first two observers the tumourscontained striped muscle tissue. The occurrence of an intra-dural lipoma is not surprising, as the loose connective tissuebetween the cord and dura mater contains fat.
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. rve. Before operation the growth simulated asarcoma. (Fig. 10.) 9. Meningeal lipomas.—Fatty tumours occur within thespmal dura mater, as well as externally to this growing within the sheath they surround the cord:Gowers, Recklinghausen, and Obre have recorded the cases described by the first two observers the tumourscontained striped muscle tissue. The occurrence of an intra-dural lipoma is not surprising, as the loose connective tissuebetween the cord and dura mater contains fat. Fatty tumours are not uncommon in the middle line ofthe back, especially in the lumbo-sacral region, overlying thesac of a spina bifida. (Fig. 11.) LIPOMAS 23 A lipoma has been observed encapsuled between the layersof the dura mater lining the sella turcica; it extended into themiddle fossa of the skull on the left side. The patient, whowas a woman 44 years of age, suffered from periodical pain inthe head, and eventually from ptosis (two years). The tumourwas as big as a hens Fig. 11.—Meningeal lipoma overlying the sac of a spina bifida.{Museum, Royal College of Surgeons.) Clinical features.—Although lipomas occur more fre-quently than any other genus of connective-tissue tumours,and may, in most instances, be diagnosed with absolutecertainty, yet under some conditions they are very puzzling,and give rise to much difference of opinion. The sub-cutaneous species is rarely the source of doubtful diag-nosis, unless situated in the palm, the sole, or on thescalp. The intimate relation between the tumour andthe overljdng skin, the absence of definite boundaries,and its dough-like consistence are usually sufficiently trust- 24 OONNEGTIVE-TISSUE TUMOURS worthy guides. When a Hpoma is connected with theperiosteum of the femur, the tibia, or the fibula it simulates asarcoma; when embedded in a muscle the most divergentopinions are often expressed in regard to the nature of t
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
