The pathology and surgical treatment of tumors . n obscure case. The cysto-scope renders valuable assistance in ascertaining not only the existence,but also the exact location and character, of the tumor. The liabilityof such growths to become transformed into malignant tumors is wellknown and generally recognized. A very interesting case of papil-lomatous tumors of the pelvis of the kidney is reported by Murchison10 146 PATHOLOGY AND TREATMENT OF TUMORS. and quoted by Sutton (Fig. 63). The pelves of both kidneys weresimilarly affected, and the bladder contained two similar tumors, one oneach


The pathology and surgical treatment of tumors . n obscure case. The cysto-scope renders valuable assistance in ascertaining not only the existence,but also the exact location and character, of the tumor. The liabilityof such growths to become transformed into malignant tumors is wellknown and generally recognized. A very interesting case of papil-lomatous tumors of the pelvis of the kidney is reported by Murchison10 146 PATHOLOGY AND TREATMENT OF TUMORS. and quoted by Sutton (Fig. 63). The pelves of both kidneys weresimilarly affected, and the bladder contained two similar tumors, one oneach side near the ureteral orifice. Sutton believes that in this case thetumors in the bladder were secondary, and were caused by the implan-tation of tumor-cells from the primary tum^ors upon the mucous mem-brane of the bladder. While this mode of origin is possible, it is morelikely that the tumors developed from so many different tumor-matricesindependently of one another. Multiple papilloma of the same surfaceor orsan is not of rare Fig. 62.—Papilloma of the bladder (after Perls). Female Organs of Generation.—The external genitals, the uterus,and all its appendages represent conditions favorable to the originand development of papillomatous tumors. We shall, of course, ex-clude infective papillary swellings, which are of such frequent occur-rence upon the external genitals of gonorrheal patients and labia (Figs. 64, 65) and the fringes of the hymen are frequentlythe .starting-points of such growths. The tumors may be either single PAPILLOMA AND ONYCHOMA. 147


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectneoplas, bookyear1895