The pathology and surgical treatment of tumors . fre-quently in young persons. Multilocular cysts of the jaws (Fig. 117) are a great rarity. Re-cently two such cases from the clinic at Bonn were described by author found in literature sixteen additional cases. The lowerjaw is more frequently the seat of this tumor. From this fact aloneit is evident that displaced dental germs are not the cause of thesecysts, as most authors claim. In the upper jaw such cysts may rup-ture into the antrum of Highmore. They are found more frequently 202 PATHOLOGY AND TREATMENT OF TUMORS. in the region
The pathology and surgical treatment of tumors . fre-quently in young persons. Multilocular cysts of the jaws (Fig. 117) are a great rarity. Re-cently two such cases from the clinic at Bonn were described by author found in literature sixteen additional cases. The lowerjaw is more frequently the seat of this tumor. From this fact aloneit is evident that displaced dental germs are not the cause of thesecysts, as most authors claim. In the upper jaw such cysts may rup-ture into the antrum of Highmore. They are found more frequently 202 PATHOLOGY AND TREATMENT OF TUMORS. in the region of the molar and bicuspid than in that of the other youngest patient was twelve years, the oldest seventy-two yearsof age. The growth, which commences during childhood and puberty,is slow. Trauma and inflammatory affections are the exciting to the location of the matrix the cyst will project eitherfrom the outer or the inner side of the jaw. The crackling sensation {b-iiit de parchcmhi) as a diagnostic sign ^ I^M/f ^. Fig. 117.—Multilocular cystoma of the lower jaw; vertical section through tumor, X 176 (after Becker):C, cylindrical cells ; P, polygonal cells ; PI, flattened polygonal cells ; S, stellate cells ; V, vacuoles; Cy, cyst;Pk, pearl-globe (Kugel;; K, granular contents of cyst; Ca, capillary from stroma into alveolus ; Ck, colloidmass; 5/, stroma. in the examination f)f multilocular tumors f)f the jaw was described byRange in 1775, and later by Dupuytrcn. Fluctuation appears when thebony wall has been absorbed, and is consequently a later sign. Ulcer-ation of the gums does not take place. Such tumors often attain anenormous size. Falkson and Bryk describe a case in which the tumor CYSTOMA. 203 weighed one and a half kilograms and reached from the zygomatic archto the sternum. On section through the tumor a system of hollow spaceswas disclosed. Some of the cysts communicated with others. Thesepta are usually membranous. These cysts contain
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectneoplas, bookyear1895
