. Diseases of the rectum and anus: designed for students and practitioners of medicine. ications of either Braune or Holmes. Because of theirvariety, difference in shape, consistence, contents, and eti-ology, a grouping of these neoplasms is extremely , it is frequently impossible to make a positive diagnosisin these cases except by operation or autopsy. For the reasons DISEASES, INJURIES, AND TUMORS OF COCCYX 16i named, the author will not attempt a rearrangement of thesetumors, but will simply point out their principal manifestations,which, after all, are of most importance to


. Diseases of the rectum and anus: designed for students and practitioners of medicine. ications of either Braune or Holmes. Because of theirvariety, difference in shape, consistence, contents, and eti-ology, a grouping of these neoplasms is extremely , it is frequently impossible to make a positive diagnosisin these cases except by operation or autopsy. For the reasons DISEASES, INJURIES, AND TUMORS OF COCCYX 16i named, the author will not attempt a rearrangement of thesetumors, but will simply point out their principal manifestations,which, after all, are of most importance to the surgeon. Neoplasms of the coccyx may be attached by a broad baseor narrow pedicle, and vary in size from a cherry to that of achilds head (Figs. 51 and 52). They may be globular,oblong, and irregular in shape; soHd, semisoHd, or soft; and,when cystic, unilocular or multilocular, with fibrous tumors of this region are congenital, the exceptions beinglipomata and supernumerary limbs not visible at birth. Contents.—Nearly all of the various structures of the body. Fig. 52.—Sacro-coccygeal Tumor (Rear View). have been found in the different forms of sacro-coccygeal tu-mors and cysts: Fluids,—spinal (spina bifida), albuminous,creamy, red, yellow, straw, or brown in color,—alone or to-gether with cheesy matter, bones (short and long), hair, teeth,muscular fiber, brain-substance, blood, cartilage, fat, mucus,and the bones of the sternum. Again, various appendages mayhave their origin in these tumors. Supernumerary fingers, toes,hands, feet, arms, legs, and fleshy projections, a tail, and penishave all been seen projecting from growths taking their originin the sacro-coccygeal region. In most instances congenitalsacro-coccygeal tumors are of sufficient size at birth to attractthe attention of the physician in attendance. Pithass case,however, is an exception to this He amputated a third 164 DISEASES OF THE RECTUM AND ANUS leg attached to the coccyx o


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Keywords: ., bookcentury1900, bookdecade1910, booksubjecta, bookyear1910, tumor