. Annals of surgery . KfpmfimfmjTi Fig. I.— Multiple myeloma. The 5th left rib. The tumor is split open; in thecentre and scattered throughout the pale mass there are darker hemorrhagic periphery of the tumor is indefinite. and atrophy of follicles; subacute tubular nephritis; paralytic dilatation of stom-ach ; marked cloudy swelling of liver; slight fibrosis of prostate. White male, aged fifty-one years, weighed about 85 kg. and measured 175 cm.;of average stature; well nourished; skin had a sallow tint. No external abnor-malities of skull. Marked pyorrhcea and many absent teeth. In


. Annals of surgery . KfpmfimfmjTi Fig. I.— Multiple myeloma. The 5th left rib. The tumor is split open; in thecentre and scattered throughout the pale mass there are darker hemorrhagic periphery of the tumor is indefinite. and atrophy of follicles; subacute tubular nephritis; paralytic dilatation of stom-ach ; marked cloudy swelling of liver; slight fibrosis of prostate. White male, aged fifty-one years, weighed about 85 kg. and measured 175 cm.;of average stature; well nourished; skin had a sallow tint. No external abnor-malities of skull. Marked pyorrhcea and many absent teeth. Indefinite tumormass felt on the left fifth rib; no palpable tumors over the long bones. Nooedema or glandular enlargement. Bones.—Examination of the bony structures was restricted to the ribs, verte-bral column and iliac bones. The long bones and the skull could not be examined. Ribs.—Practically all of the ribs were the seat of small gray-red tumorswhich eroded and replaced the bone: this rendered the ribs veryannalsofsurgery78philuoft


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885