The pathology and surgical treatment of tumors . ground-substance. (Magnification same as that of Figure 434.) tion of the tunica albuginea has taken place, the tumor grows veryrapidly. Extension along the spermatic cord results in speedy andextensive regional infection. Metastasis fre-quently precedes the fatal termination. Veryoften the same affection appears in the oppositetesticle. In the differential diagnosis of sarcoma of thetesticle it is important to exclude carcinoma, tuber-culosis, gumma, and hematocele. Figure 436represents a sarcoma of the testicle that occurredin a child three an
The pathology and surgical treatment of tumors . ground-substance. (Magnification same as that of Figure 434.) tion of the tunica albuginea has taken place, the tumor grows veryrapidly. Extension along the spermatic cord results in speedy andextensive regional infection. Metastasis fre-quently precedes the fatal termination. Veryoften the same affection appears in the oppositetesticle. In the differential diagnosis of sarcoma of thetesticle it is important to exclude carcinoma, tuber-culosis, gumma, and hematocele. Figure 436represents a sarcoma of the testicle that occurredin a child three and a half years old, and whichwas carefully reported by Neumann. Castration is indicated if the spermatic cord isnot affected or if the diseased part of the cord canbe removed. In all operations for malignant dis-ease the cord should be removed as high as pos-sible. For this purpose the inguinal canal shouldbe laid open, and by gradual traction as much of the cord as practicableshould be brought down and liberated. Enlargement of the retroperi-. thc lotis (alter Neumann). SARCOMA. 605 toneal glands in the inguinal region contraindicates castration. Someof the sarcomatous tumors of the testicle contain striated muscularfibres, and in very rare cases the tumor is pigmented. Brain and its Envelopes.—In the brain we have described, aspeculiar varieties of sarcoma, psammoma and glioma. The dura materis not infrequently the starting-point of sarcoma. The tumor destroysthe bone over it, and appears, after perforation has taken place, asa pulsating tumor. Operative treatment is contraindicated in psammoma and is ofdoubtful propriety in glioma. Bergmann for good reasons opposesintracranial operation for malignant disease. Surgeons, however, willcontinue to operate for glioma, as the tumor frequently produces focalsymptoms which enable them to locate it with precision, and a positivediagnosis is usually made only after the tumor has been exposed orafter operation, by examination of sect
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectneoplas, bookyear1895
