. The diseases of children : medical and surgical. Fig. 201.—Congenital Cystic Tumour of the Groin. Mr. Hardies case. Compound Congenital Tumours occur most frequently about the sacraland lumbar regions ; their origin is obscure, and has been accounted for onthe view of included foetation, gemmation, or inclusion of a portion of theouter layer of blastoderm, at the time of closure of the dorsal laminse.^ Thetumours are often cystic, and may contain masses of fat, cartilage, bone, andskin elements. They vary in size, and may attain great dimensions ; their ^ Mr. Bland Sutton divided these tumou
. The diseases of children : medical and surgical. Fig. 201.—Congenital Cystic Tumour of the Groin. Mr. Hardies case. Compound Congenital Tumours occur most frequently about the sacraland lumbar regions ; their origin is obscure, and has been accounted for onthe view of included foetation, gemmation, or inclusion of a portion of theouter layer of blastoderm, at the time of closure of the dorsal laminse.^ Thetumours are often cystic, and may contain masses of fat, cartilage, bone, andskin elements. They vary in size, and may attain great dimensions ; their ^ Mr. Bland Sutton divided these tumours into four classes : i. Sacral spina bifida ;2. Tumours originating in the post-anal gut; 3. C3stic tumours originating in theneurenteric canal; 4. Parasitic foetuses.—Erasmus Wilsons Lectures, Brit. Med. 12, 1887. Congenital Sacral riuiionrs 771>. rate of growth usually corresponds v/ith that of the child ; they may becomeulcerated fiom irritation. Such tumours give rise to trouble by their weightand bulk, and their interference with movement Cask.—Congenital Sacral Tumour,—Elizth. Ann T., age 4years ; admitted February2, 1885. Always a delicate child ; more so since an attack of scarlet fever at two tumour has gradually increased to twice the size it was at birth. She has had no fits ;vomits frequently after meals ; cannot retain her urine, but has no incontinence of faeces ;sleeps badly and complains of abdo-minal pain. On admission, a delicatechild. Over the lower lumbar andupper sacral vertebrae is a soft, pulpytumour, about the size of a smallorange; the skin is natural over it;there is no tenderness on pressure, andthe swelling is not fluctuating. Thereis loss of power in both legs ; the childcan draw them up in bed, but cannotsupport herself upon them. February13, the tumour was explored with aneedle, but n
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