. The Medical and surgical reporter . undred tumors ofvarious sizes in different parts of the were solitary, some were clustered,some with broad base, some pedunculated,whilst others were as small as a split pea. Thechief growth extends from the right side ofthe neck by a pointed extremity to the uppermargin of the right mamma. It consists ofa long thick and broad pendulous flap ofskin about eighteen inches in length. Itsanterior surface is thrown into several foldswhich give it somewhat the appearance ofcoils of intestine. One large one attachedto the back of the head is of the size
. The Medical and surgical reporter . undred tumors ofvarious sizes in different parts of the were solitary, some were clustered,some with broad base, some pedunculated,whilst others were as small as a split pea. Thechief growth extends from the right side ofthe neck by a pointed extremity to the uppermargin of the right mamma. It consists ofa long thick and broad pendulous flap ofskin about eighteen inches in length. Itsanterior surface is thrown into several foldswhich give it somewhat the appearance ofcoils of intestine. One large one attachedto the back of the head is of the size of asmall melon. The microscope, according toDr. Whipham, showed that the growth wasdue to excessive hypertrophy of the connec-tive tissue and partly to abundant cellgrowth, occupying interspaces between thebands of fibrous tissue. I am promised 430 Periscope. [Vol. xxix. photographs, not only of this case, but alsoof a child affected similarly at the ChildrensHospital in London. The microscopicaldrawing accompanying this essay will. show the havoc made by the disease in thedermal tissue. James Bells disease is re-markable from the fact that it embracessome of the characters of both cheloid andmolluscum fibrosum. The physicians ofLoudon or elsewhere may call similarlooking affections to this from which JamesBell suffers by whatever name they please,but whenever American surgeons encountercases that may simulate molluscum fibro-sum and yet have the cheloid diathesis, theywill continue to find illustrations of mollus-cum fibrosum in their works upon surgery,and yet underline them with the designa-tion cheloid. If the origin of those casesoccurringin England now, called molluscumfibrosum, was minutely investigated, it ispossible, from the nature of the microscopi- cal examination of Mr. George Pollockscase, and the fact that molluscum fibrosumis a disease peculiar to warm countries, thatthey would follow our example and calltheir cases cheloid, especially as this diseaseis more l
Size: 1313px × 1903px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdec, booksubjectmedicine, booksubjectsurgery
