. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. ases; but, as in car-cinoma, the tissue surrounding the tumor, which isalready infiltrated by tumor cells, must be cases of soft, rapidly growing sarcoma of theextremities, the question of amputation and even dis-articulation arises. In spite of operation recurrenceis frequent; either locally or in the form of dissem-inated nodules, less commonly in the form of lym-phangitis sarcomatosa. In the hard forms ofsarcoma recurrence may also occur, in the form ofsoft growth, which
. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. ases; but, as in car-cinoma, the tissue surrounding the tumor, which isalready infiltrated by tumor cells, must be cases of soft, rapidly growing sarcoma of theextremities, the question of amputation and even dis-articulation arises. In spite of operation recurrenceis frequent; either locally or in the form of dissem-inated nodules, less commonly in the form of lym-phangitis sarcomatosa. In the hard forms ofsarcoma recurrence may also occur, in the form ofsoft growth, which is a most unfavorable sign. Inoperable cases have been treated with the X-rays, but the action is only superficial {Unger, Schles-inger). By this treatment the superficial nodules are 37 destroyed, just as in intercurrent erysipelas, but thetumor continues to grow in the deeper tissues and inother places. Subcutaneous injections of arsenicand atoxyl are worth a trial, and iodide of potas-sium in large doses may be administered. Serumtherapy has so far given no results. 38 Bockenheinier, Atlas. Tab. Fig. 24. Lyiiipliosarcoma colli. Rcbnun Company, New-York. LYMPHOSARCOMA COLLI {of Neck)Plate XVII, Fig. 24. Clinically, the name lymphosarcoma is bestapplied to those sarcomas which originate in lym-phatic glands, whether their cells have the characterof lymph cells or arise from the stroma of the is all the more indicated as both forms of sar-coma can only seldom be distinguished from oneanother, clinically or microscopically. The seat ofpredilection of these tumors is the region of theneck, where the lymphatics are abundant. A diffusenodular tumor quickly develops from a group ofsmall, hard, movable glands. The malignancy of these tumors is shown, espe-cially in young individuals, by the continual formationof fresh nodules at the periphery, which coalesce withthe main tumor and cause it to attain a considerablesize. The unlimited growth into the neighboringtiss
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