File:Annals of surgery (1885) (14769445682).jpg

Identifier: annalsofsurgery78philuoft (find matches)
Title: Annals of surgery
Year: 1885 (1880s)
Authors:
Subjects: Surgery
Publisher: Philadelphia Lippincott
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: Internet Archive

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to spindle-cell sarcoma .seen in the left pleura and to aless extent in the lungs and lymph-nodes. Furthermore the sinooth, almostcartilaginous appearance of certain areas of the stroma in the scrotal nodulesuggests other differentiation. In the matter of classification we are handi-capped since we were unable to secure the original tumor for examination.It is possible that the latter contained other types of tissue such as cartilage,bone, etc., or even rudiments of organs, thus putting the tumor in the group 770 MALIGXAXT TUMORS OF THE TESTICLE IX CHILDREN of either embryoid or adult teratomata. In this case we would have toassume that one of the tissue composing the tumor had undergone a malignantchange and outgrown all the rest. This occurrence is rare in adult terato-mata. but apparently not uncommon in the embryoid type. Lacking suchconfirmatory evidence, however, and based on the material at hand, it wouldseem that the grc)U)) called by Ewing embryonal carcinoniata would be best
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Fic. 5.—Nodule in Uft ■ adapted to our case. Anfl yet it does not compare accurately with anyone ofthe e.xamples therein described. The lymphoid stroma so commonly foundin that type of tumor is lacking and again the extent and size of the metastasesin our case rencler it most unusual. Finally we cannot place the case in thegroup of tumors described by Chevassu as seminomes and included byEwing in his class of embryonal carcinomata since in these the cells arepictured as relatively large, composed of a clear cytoplasm, possessed ofnuclei rather ))0(ir in nuclear material, but jjrovifled with one or more nucleoli, T71 KUTZMANN AND GIBSON the whole supported l)y a stroma very small in anmutit and frequentlv markedby collections of lymphocytes, none of which features are present in our case.As much by the process of elimination, therefore, as by any other procedure,we are constrained to classify our case as an embryonal carcinoma. Historical Note and Discussion.—As early as 1696, St

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