The practice of surgery . e asa dinner-plate, when situated between the shoulders, is not fatty tumor the size of a mans thumb, if it protrude into the knee-joint, may cause great pain and result in serious crippling. Thelipoma arborescens of Midler is xhe common example of the latter TUMORS OF THE CONNECTIVE-TISSUE TYPE 827 form, the joint lipoma, and is often associated with rheumatoid lipomata situated behind the peritoneum may attain enormoussize; may occur at almost any age; may seriously interfere with visceralfunction; and may be mistaken for grave abdo
The practice of surgery . e asa dinner-plate, when situated between the shoulders, is not fatty tumor the size of a mans thumb, if it protrude into the knee-joint, may cause great pain and result in serious crippling. Thelipoma arborescens of Midler is xhe common example of the latter TUMORS OF THE CONNECTIVE-TISSUE TYPE 827 form, the joint lipoma, and is often associated with rheumatoid lipomata situated behind the peritoneum may attain enormoussize; may occur at almost any age; may seriously interfere with visceralfunction; and may be mistaken for grave abdominal tumors. Diffuselipowata are seen most commonly on the back of the neck. Suchlipomata spread without a limiting barrier and may cause ugly de- fo unities. The treatment of all forms of Hpomata is excision. Those encapsu-lated growths which are found on the anterior surface of the bodymay be shelled out readily, while lipomata of the hack call for a morepainstaking dissection. Deep-seated encapsulated lipomata usually. Fig. olS.—Dissection of lipoma of shoulder. may be scooped out without great trouble. Per contra, diffuse lipomatamust be removed with the greatest care in order that no portion of thegrowth remain. This form of fatty tumor recurs unless it be removedthoroughly. A fibroma is a tumor composed of fibrous tissue; and the purefibroma is not especially common. Mixed fibromata occur oftenenough, however, such as fibrolipomata, fibromyomata, fibrosarcomata,and the like. We find the pure fibromata in the female generativeorgans, the intestine, the gums, nerve-sheaths, and skin. Even so,manv of these pure fibromata are mere curios. Certain of the fibromataof the gums and skin have been already described in other have mentioned also those fibrous tumors termed desmoids—smaM 828 MIN(JR SURGERY—DISEASES OF STRUCTURE growths springing from the muscles, tendons, and aponeuroses. Rarelythey may attain a considera))le size. A psammoma is a hard fibroustumor
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
