A system of surgery . h sebaceous a lipoma grows fromthe periosteum of a long boneit will simulate a sarcoma:embedded in a muscle it willlead to most divergentopinions. In the middle lineof the back it is very liableto be confounded with spinabifida, or a dermoid cyst, andwill then require much cir-cumspection in treatment. Alipoma within the abdomenis almost invariably a clinicalpuzzle. Treatment. — Subcuta-neous lipomata are easilyenucleated: if pedunculated,their detachment is verysimple. The diffuse variety is rarely submitted to operation. Whenfatty tumours are situated where t
A system of surgery . h sebaceous a lipoma grows fromthe periosteum of a long boneit will simulate a sarcoma:embedded in a muscle it willlead to most divergentopinions. In the middle lineof the back it is very liableto be confounded with spinabifida, or a dermoid cyst, andwill then require much cir-cumspection in treatment. Alipoma within the abdomenis almost invariably a clinicalpuzzle. Treatment. — Subcuta-neous lipomata are easilyenucleated: if pedunculated,their detachment is verysimple. The diffuse variety is rarely submitted to operation. Whenfatty tumours are situated where they are liable to irritation frompetticoat-bands, braces, and other articles of clothing, they shouldbe excised. The removal of a subcutaneous lipoma is one of thesimplest proceedings in surgery, but the extirpation of a large sub-peritoneal fatty tumour is invariably a difficult matter, and oftenattended with grave risks. 2. Chondromata (Cartilage Tumours).Chondromata (enchondromata) are tumours composed of hyaline. 99.—Meningeal Lipoma simulating SpinaBifida. (Temoin.) CHONDROMATA. 453 cartilage. This genus contains three species : (1) Chondromata;(2) ecchondroses ; (3) loose cartilages in joints. 1. Chondromata.—Cartilage tumours in their most typicalcondition occur in connection with long bones, especially of thehands; and, as a rule, grow in the immediate vicinity of theepiphysial lines, hence they are most frequent in children and young
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