The practice of surgery . lved. The patient dies with distinct metastases often— Fig. 325.—Cancer en cuirasse. cancer of the lung and pleura, of the Hver. the spinal column, or thebrain. The exact method of cancer dissemination is still a matter of 512 THE CHEST discussion, and Handlcy* recently has advanced views at variance withthose commonly accepted, namely, the belief in a spread throufih theblood and lymph-channels only. He asserts that the dissemina-tion of cancer is accomplished in a more slow and subtle way \)y theactual growth of cancer-cells in all directions, from the tumor centera


The practice of surgery . lved. The patient dies with distinct metastases often— Fig. 325.—Cancer en cuirasse. cancer of the lung and pleura, of the Hver. the spinal column, or thebrain. The exact method of cancer dissemination is still a matter of 512 THE CHEST discussion, and Handlcy* recently has advanced views at variance withthose commonly accepted, namely, the belief in a spread throufih theblood and lymph-channels only. He asserts that the dissemina-tion of cancer is accomplished in a more slow and subtle way \)y theactual growth of cancer-cells in all directions, from the tumor centeralong the finer vessels of the lymphatic plexuses. The author calls this permeation, and states that it takes place as readily against thelymph-stream as with it. In this way the tissues ai-e involved as byan invisible annular ring-worm, the growth extending like a ripple, in awider and wider circle, with a healing process going on within its cir-cumference, leaving behind it involved lymph-nodes which persist. —. n


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910