The pathology and surgical treatment of tumors . Fig. 87.—Diagram to represent the relation ofthe mesonephros and its ducts to the adult testicle(after Sutton). 174 PATHOLOGY AND TREATMENT OF TUMORS. has been found quite difficult. The tumors varied in size from ahickory-nut to a walnut, and on section presented a honeycomb appear-ance, owing to the presence of numerous cysts, the largest of whichdid not exceed the size of a hempseed (Fig. 88). The differential diagnosis of adenoma of the testicle must take intoconsideration tuberculosis, gumma, carcinoma, sarcoma, and circum-. FiG. 83.—Testic


The pathology and surgical treatment of tumors . Fig. 87.—Diagram to represent the relation ofthe mesonephros and its ducts to the adult testicle(after Sutton). 174 PATHOLOGY AND TREATMENT OF TUMORS. has been found quite difficult. The tumors varied in size from ahickory-nut to a walnut, and on section presented a honeycomb appear-ance, owing to the presence of numerous cysts, the largest of whichdid not exceed the size of a hempseed (Fig. 88). The differential diagnosis of adenoma of the testicle must take intoconsideration tuberculosis, gumma, carcinoma, sarcoma, and circum-. FiG. 83.—Testicular adenoma (after Sutton). scribed hydrocele of the tunica vaginalis. In the removal by enucleationgreat care is required in preventing injury to the cord and the —Adenoma of the liver during the last year or two hasbecome a more interesting topic to the surgeon from the fact that inseveral cases tumors of this kind have been removed successfully byexcision. Keen and Von Bergmann have each reported a successfulcase. The earliest communications on adenoma of the liver were madeby Hoffmann and Lancereaux. Gruber, Wagner, and others havefound detached portions of liver-tissue, often very numerous, in theperitoneal folds supporting the liver and in the portal fissure; thesefragments may be a possible source of cysts and tumors. Friedreichfound in the liver itself groups of cells which did not appear to formpart of the parenchyma, as they were isolated from it by a embryonic remnants are undoubtedly the matrices from whichadenomata origina


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectneoplas, bookyear1895