The pathology and surgical treatment of tumors . rtion. His attending surgeon, Von Bergmann, made a cor-rect diagnosis, basing his opinion upon the clinical aspects of the part of the tumor was removed and examined by the most dis-tinguished pathologist the world has ever seen. His diagnosis wasbased upon what he could see under the microscope. In the sec-tion examined he could detect nowhere any evidences of epithelial cells, greatly increased in number, retained their normalrelation to the underlying tissues. All the pictures under the micro-scope represented a benign p
The pathology and surgical treatment of tumors . rtion. His attending surgeon, Von Bergmann, made a cor-rect diagnosis, basing his opinion upon the clinical aspects of the part of the tumor was removed and examined by the most dis-tinguished pathologist the world has ever seen. His diagnosis wasbased upon what he could see under the microscope. In the sec-tion examined he could detect nowhere any evidences of epithelial cells, greatly increased in number, retained their normalrelation to the underlying tissues. All the pictures under the micro-scope represented a benign papilloma. The disease, however, pursuedits relentless course, notwithstanding the favorable prognosis made,and in a few months destroyed the life of the illustrious patient. Theunprejudiced surgeon will readily understand the source of fallacy inthe diagnosis made by the pathologist. The part removed and exam-ined represented only one part of the tumor. The attached deep por-tion contained the carcinoma-cells, and it was from this part that the. Fig. 39.—Warrens harpoon for the removal of tissue from solid tumors for microscopic disease extended from one tissue to another. The case is an extremelyvaluable one in showing the importance of examining different partsof a tumor if the microscope is to be relied upon in making a finaldiagnosis. The examination under the microscope of isolated cells isnot to be relied upon, as all the varieties of tumor-cells have theircounterpart somewhere in the normal tissues of the body. Instrumentsconstructed upon the plan of a trocar have been devised by Wintrich, I04 PATHOLOGY AND TREATMENT OF TUMORS. Bouisson, Bruns, Middeldorpf, and J. Collins Warren (Fig. 39), for the pur-pose of removing particles of tumor-tissue for microscopic objection to this method of obtaining tissue for examination is thatby taking the tissue from only one part of the tumor the part removedmay not represent tumor-tissue, and may consequently lead to
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectneoplas, bookyear1895
