. Tumours, innocent and malignant; their clinical characters and appropriate treatment. s even this limitedchannel of escape becomes closed. Occasionally, after manydaj^s of complete obstruction, a portion of the cancer sloughs,and the obstruction is temporarily relieved. The enormousquantity of fteces that sometimes escapes on such occasions isalmost beyond belief. The constricting variety of cancer in the colon is, likeatrophic cancer in the breast, an example of the diseaseundergoing spontaneous cure. Occasionally the hard ringresulting from the contraction of the cancer acts as a polypuswi


. Tumours, innocent and malignant; their clinical characters and appropriate treatment. s even this limitedchannel of escape becomes closed. Occasionally, after manydaj^s of complete obstruction, a portion of the cancer sloughs,and the obstruction is temporarily relieved. The enormousquantity of fteces that sometimes escapes on such occasions isalmost beyond belief. The constricting variety of cancer in the colon is, likeatrophic cancer in the breast, an example of the diseaseundergoing spontaneous cure. Occasionally the hard ringresulting from the contraction of the cancer acts as a polypuswill, and produces intussusception. I have operated on sucha case. The chief difficulty with which surgeons have to contendin the diagnosis of cancer of the gastro-intestinal tract is theabsence of specific symptoms. When a lump in the stomachor intestine is exposed in the course of an operation, eyes andfingers are often incompetent to decide for or against malig-nancy. The condition of the big bowel known as hyperplastictuberculous disease, in its naked-eye characters and effects on. Fig. 166.—Csecum with the Yemiiform aj)pendix and adjaceut segments of theascending colon and ileum. The CEecum is occupied with a cancerous mass,which has perforated its mesial wall, and not only implicated the adjacent seg-ment of the ileum but has penetrated its lumen. The parts were successfullyresected from a woman set. 55. She was alive and in good health four yearsafter the ojieratiou, 340 CANGEB OF THE COLOR 341 the gut simulates cancer very strongly. On microscopicexamination, however, the presence of giant-cell systemsaffords an unerring means of distinction. Inflammatorythickenings around the ctecum often cause great difficultyin diagnosis. A large proportion of patients with intestinal cancersuccumb from the effects of obstruction; in some death isbrought about by other means. For example, the retentionof the contents of the bowel leads to dilatation of the gutabove the stricture ; th


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19