Mt Sinai Hospital Reports . and several smaller tumors were found inthe bladder wall, many of which extended but slightly above the surface ofthe mucosa. From the left wall of the bladder a large tumor mass ex-tended to the bony pelvis, to which it was adherent. Extensive metastaseswere found in both kidneys, in the lungs and under the visceral pleura,and a few on the surface of the liver. One small metastasis was present inthe right lobe of the prostate, which also contained a small abscess. Micro-scopically, the various metastases presented the same general structure asthe primary growth in


Mt Sinai Hospital Reports . and several smaller tumors were found inthe bladder wall, many of which extended but slightly above the surface ofthe mucosa. From the left wall of the bladder a large tumor mass ex-tended to the bony pelvis, to which it was adherent. Extensive metastaseswere found in both kidneys, in the lungs and under the visceral pleura,and a few on the surface of the liver. One small metastasis was present inthe right lobe of the prostate, which also contained a small abscess. Micro-scopically, the various metastases presented the same general structure asthe primary growth in the bladder. REFERENCES. 1. Kroph: Zeitschrift fur Heilkunde. Bd. xxv, 1904, p. 247. 2. Zuckerkaxdl: Handbuch der Urologie, Bd. ii, p. 734. 3. Ribbert: Geschwulstlehre. 1904, p. 356. 4. Stoerk : Handbuch der Urologie, Bd. ii, p. 744. 5. Von Limbeck : Zeitschrift fur Heilkunde, Bd. viii, 1887, p. 55. 6. Von Beuxx: Archiv fur mikros. Anatomie. Bd. xli, p. 294. 7. Stoerk uhd Zuckebkandl: Zeitschrift fur Urologie, Bd. i, Fig. 2. Papilloma, showing fusion of two villi on the right,due to loss of surface epithelium. X 50.


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