. The principles of surgery . vere as the appropriate treatment—extirpation. Thisshould not be long delayed; for although the fatty is among the mostsimple of tumours, and little prone to change either in structure or intendency, yet examples are not wanting of stimulation, long continued,having succeeded in effecting complete medullary and malignant degene-ration. Besides, the lobules are apt to extend deeply, as alreadystated; and, even in the original state, an operation may thus be ren-dered difficult and dangerous. It is good surgery to advise and executeextirpation by the knife, so soon
. The principles of surgery . vere as the appropriate treatment—extirpation. Thisshould not be long delayed; for although the fatty is among the mostsimple of tumours, and little prone to change either in structure or intendency, yet examples are not wanting of stimulation, long continued,having succeeded in effecting complete medullary and malignant degene-ration. Besides, the lobules are apt to extend deeply, as alreadystated; and, even in the original state, an operation may thus be ren-dered difficult and dangerous. It is good surgery to advise and executeextirpation by the knife, so soon as we are satisfied of the existence ofsuch a tumour, and the patient has been convinced of the expediency ofthe operation. A free incision having been made through the integu-ments and cyst, the elastic swelling starts outwards ; and no regular dis-section is required, as in other tumours ; the fingers, aided by an occa- Fig. 63. Lipoma lobulated. At a, the mark of incision seen, in removal; L, b, l>, thevarious THE CYSTIC TUMOUR. 301 sional touch of the knife, usually suffice for removal. After incision,evulsion is a more appropriate term for the proceedings, than extirpa-tion or dissection ; unless malapraxis have produced adhesion and incor-poration, with the adjoining 4. The Cystic Tumour, or Cysto-Sarcoma.—Many of the malig-nant tumours contain cysts; but to these this term does not designates a tumour partly composed of solid structure,partly of cysts or cavities variously occupied. The solid structure, orstroma, is of a simple and non-malignant kind; analogous to that either Fig. 64. Fig. 65.
Size: 1377px × 1814px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksub, booksubjectsurgicalproceduresoperative
