The practice of surgery . n doubt about the chaiacter of the tumor, he shoulddrain the bile-passages in the hope that the disease may prove to benon-malignant. 1 Robson and Cammidge, The Pancreas: Its Surgerj and Pathology, 1907. 2 W. J. Mayo, Pancreatitis Resuhing from Gall-stone Disease, Jour. Amer. , April 11, 1908. TUMORS OF THE PANCREAS 185 Cysts of the pancreas are the surgeons own. They may bediagnosticated, and, usually, they can be cured. Under the termcyst we group several different pathologic processes, which may bewithin the pancreatic tissue proper, or may be extrapancre
The practice of surgery . n doubt about the chaiacter of the tumor, he shoulddrain the bile-passages in the hope that the disease may prove to benon-malignant. 1 Robson and Cammidge, The Pancreas: Its Surgerj and Pathology, 1907. 2 W. J. Mayo, Pancreatitis Resuhing from Gall-stone Disease, Jour. Amer. , April 11, 1908. TUMORS OF THE PANCREAS 185 Cysts of the pancreas are the surgeons own. They may bediagnosticated, and, usually, they can be cured. Under the termcyst we group several different pathologic processes, which may bewithin the pancreatic tissue proper, or may be extrapancreatic, butconnected with the gland and containing pancreatic fluid. This latterform of cyst is a pseudocyst. The pancreatic cysts proper are small andmay not cause symptoms. Rarelj^ they may reach a great size. Thereare also found within the pancreas proliferation cysts—adenomatousor epitheliomatous, as well as, rarely, hydatid cysts and the congenitalcysts of children. Finally, there is the pseudocyst, which may develop. Fig. 102.—Drainage of pancreatic cyst. spontaneously in the peripancreatic tissue or may be due to a heavyblow or crush. The sym])toms of pancreatic cyst may be inconspicuous for a longtime, until the tumor becomes so large as to press upon and inter-fere with the functions of organs; then there is graduall}^ increasingpain, with vomiting, malnutrition, and rapid wasting. There may befatty stools or undigested proteid material in the discharges. Thebowels are often loose, and the pancreatic reaction of Cammidge ^ maybe found in the urine. But the important and confirmatory sign is apalpable cystic tumor, found in the epigastrium. 1 J. G. Mumford, Surgical Aspects of Digestive Disorders, p. 287. 18o THE AI5DOAIEN The treatment of pancroatic cysts is simple and highly successful—incision and drainage. The tumor usually presents between thestomach and transverse colon, though rarely it may appear abovethe stomach. The safest operation consists in evacuating
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