. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Fig. 283.—A testis with the spermatic cord and the spermatic vessels, removed by-radical orchidectomy from a man 31 years of age. The testis is shown in cystic tumour has grown between the body of the testis and its secreting tissue of the testis is flattened over the upper pole of the tumour. 540 CYSTIC DISEASE OF THE TESTIS 541 tumours, cysts due to the dilatation of the tubules are seenin the sections. The cystic form is a very striking tumour. On sectionit is seen to be made of
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Fig. 283.—A testis with the spermatic cord and the spermatic vessels, removed by-radical orchidectomy from a man 31 years of age. The testis is shown in cystic tumour has grown between the body of the testis and its secreting tissue of the testis is flattened over the upper pole of the tumour. 540 CYSTIC DISEASE OF THE TESTIS 541 tumours, cysts due to the dilatation of the tubules are seenin the sections. The cystic form is a very striking tumour. On sectionit is seen to be made of cystic spaces greatly varying insize: some are no larger than a rape-seed, and others mayattain the size of a hazel-nut (Fig. 282). Many are distinctlytubular, and the cysts sometimes communicate with eachother. The cysts are lined with epithelium, which may becolumnar, cubical, or stratified. In some specimens occurringin boys, striated muscle-tissue has been Fig. 284.—A lymph-node from beneatli the left clavicle enlarged secondary toa cystic tumour of the testis. Cystic disease of the testis is sometimes malignant andinfects the lymph-glands. In 1909 I removed the right testis of a man 31 years oldby radical orchidectomy, and at the same time removed anenlarged lymph-node lying on the inferior vena cava. Thisgland was examined microscopically; it contained a collectionof small cystic spaces lined with epithelium identical withthat in the testis (Fig. 283). Six months later the man again came under observationwith a cystic tumour in the left side of the neck under thesternal end of the clavicle. This was removed; on section itappeared transformed into cysts (Fig. 284). These were lined 542 TUMOURS OF THE TESTIS with epithelium like that found in the testis. The infectionmust have travelled up the thoracic duct. A year later hewas in good health. The dermoid or teratomatous tumour of the testis isvery rare, and as striking in its general
Size: 1714px × 1458px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
