Medical and surgical report of the Presbyterian Hospital in the City of New York . estruction of parenchyma. Opie believes that the simple or granular atrophy of thepancreas, which certain writers, including Hansemann, consider acommon lesion in diabetes, differs in no way from the chronicinteracinar inflammation which he and others have noted. Of my cases, the pancreas has been described as small oratrophic in only twenty-five per cent. All but four of these showeda definite interacinar pancreatitis. These four cases occurredin the second and third decades of life. With the exception ofthis d
Medical and surgical report of the Presbyterian Hospital in the City of New York . estruction of parenchyma. Opie believes that the simple or granular atrophy of thepancreas, which certain writers, including Hansemann, consider acommon lesion in diabetes, differs in no way from the chronicinteracinar inflammation which he and others have noted. Of my cases, the pancreas has been described as small oratrophic in only twenty-five per cent. All but four of these showeda definite interacinar pancreatitis. These four cases occurredin the second and third decades of life. With the exception ofthis diminution in size, the pancreas in my cases exhibited veryfew notable macroscopic changes. The weight has been given inthirty-five cases, and ranges from thirty to one hundred andeighty-five grammes. The average weight was ninety-fourgrammes. This is scarcely less than the weight of the averagenormal pancreas, which ranges from sixty-six to one hundred andtwo grammes, and averages, according to Vierordt, ninety-sevengrammes. The consistence of the gland in a good many cases was. FIG. 1 — HYALINE DEGENERATION OF THE ISLANDS OF LANGERHANS:SECRETING PARENCHYMA NORMAL (CASE LXXI)
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