The pathology and surgical treatment of tumors . the iliac fossa or were located near the crest of theilium. These places are the favorite localities, but the sheath of therectus muscle is also not infrequently the starting-point of fibromaof the abdominal wall. The primary starting-point is most frequentlynear the peritoneum, so that the tumor projects at the same timeinto the peritoneal cavity, pushing the peritoneum before it while itbecomes prominent on the surface. It is most frequently met with inwomen after delivery. Among 42 cases collected by Guerrien there 386 PATHOLOGY AND TREATMENT
The pathology and surgical treatment of tumors . the iliac fossa or were located near the crest of theilium. These places are the favorite localities, but the sheath of therectus muscle is also not infrequently the starting-point of fibromaof the abdominal wall. The primary starting-point is most frequentlynear the peritoneum, so that the tumor projects at the same timeinto the peritoneal cavity, pushing the peritoneum before it while itbecomes prominent on the surface. It is most frequently met with inwomen after delivery. Among 42 cases collected by Guerrien there 386 PATHOLOGY AND TREATMENT OF TUMORS. were 39 women and only 3 men. Of the 4 cases which have comeunder the writers observation, all were women, and in each ofthem the tumor appeared soon after childbed. As compared withother tumors of the abdominal wall, fibroma occurs most 70 cases collected by Sanger, 60 were fibromata. Traumaappears to be the most important determining cause. Great con-fusion has existed in regard to the proper classification of these. Fig. 268.—Desmoid fibroma of the abdominal wall; X 330, reduced one-third (Surgical Clinic, RushMedical College, Chicago): a, tumor-tissue ; b, striated muscle-fibres in cross-section : the striae have disap-peared, and the muscle is degenerating and is infiltrated with young connective-tissue cells. tumors. Some authors are inclined to regard them as a variety offacial sarcoma. Their clinical course and histological structure do notjustify their classification with the sarcomata. They seldom recur afterthorough extirpation, and their histological structure bears a closer oC Fig. 269.—Vessel in a -Jcsnioid fibroma o( the ; X 33° (Surgical Clinic, Rush MedicalCollege, Chicago): a, vessel-wall. resemblance to fibroma and kxloid than to .sarcoma. To distinguishthem from ordinary fibroma it is well to retain the name desmoid. FIBROMA. 387 a term applied by Miiller to benign connective-tissue tumors (). The tumor-
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectneoplas, bookyear1895
