Clinical and pathological papers .. . ?Fig. 1. Patient No. 2. Large neurinoma of chest, dating from birth. One tumor on the back oyer the left scapula and severalon the neck are flattened, elongated, not tender, not painful,movable on the deeper tissues-, > with the skin movable over themand on palpation have a feeling similar to that of a varicocele. Over the lower sternum and chest anteriorly and apparentlyclosely attached to them, is a large, pedunculated, lobulated, Digitized by Microsoft® Cole and Shawax—Von Recklinghausens Disease - 7 rather firm tumor with areas of softening, having
Clinical and pathological papers .. . ?Fig. 1. Patient No. 2. Large neurinoma of chest, dating from birth. One tumor on the back oyer the left scapula and severalon the neck are flattened, elongated, not tender, not painful,movable on the deeper tissues-, > with the skin movable over themand on palpation have a feeling similar to that of a varicocele. Over the lower sternum and chest anteriorly and apparentlyclosely attached to them, is a large, pedunculated, lobulated, Digitized by Microsoft® Cole and Shawax—Von Recklinghausens Disease - 7 rather firm tumor with areas of softening, having a base meas-uring cm. vertically and cm. transversely. The upperborder is in the fourth interspace in the right sternal line while. Fig. 2. Patient No. 2. Large Ranken-neurom of left scapular region andnumerous small subcutaneous tumors. the lower edge is 2 cm. above the umbilicus. With this as abase, the tumor hangs dependent over the upper abdomen withshallow creases dividing it into three more or less distinct Digitized by Microsoft® 8 ? The Cleveland Medical Journal lobules. When the patient is in the dorsal position the highestpoint of the tumor is 10 cm. above the level of the umbilicus. The oldest lobule, which lies to the right, is somewhat firm,irregular in outline, nodular and measures over its surface ver-tically 29,5 cm. The skin covering it, other than being closelyattached, is similar to that covering the rest of the body. Froman old incision near its upper border, a thin seropUrulent dis-charge is escaping. Evidence of inflammation and of degenera-tion are seen about this opening. The middle and left lobules are firmer and less dependentthan the original tumor. The skin over them is tough, closel
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectclinica, bookyear1901
