File:Tumours, innocent and malignant; their clinical characters and appropriate treatment (1911) (14597674040).jpg

Identifier: tumoursinnocentm1911blan (find matches)
Title: Tumours, innocent and malignant; their clinical characters and appropriate treatment
Year: 1911 (1910s)
Authors: Bland-Sutton, John, Sir, 1855-1936
Subjects: Neoplasms
Publisher: New York : Funk
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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emendothelioma of the kidney.(After Ziegler.) surrounding tissue and skin. Some of them infect theadjacent lymph-glands (Fig. 196) and give rise to secondarydeposits in the lungs. Chondrifying tumours of the parotid are most frequentbetween the fifteenth and thirty-fifth years, but they havebeen observed as late as the seventy-fourth year. In theirearly stages they are easily removed, but many of the rapidlygrowing forms so quickly infiltrate the surrounding parts thattheir complete extirpation is not always possible. Endotheliomas are far less frequent in the submaxillarythan in the parotid gland (Fig. 197). They are encapsuled and, ENDOTHELIOMAS 409 as a rule, shell out easily. They grow slowly, and occur inthe young as well as in adults. Glandular tissue is oftenassociated with the cartilage. Similar tumours occur inthe lachrymal gland; they are extremely rare in this situa-tion. The chief features of endotheliomas in the parotidgland are these: a tumour will arise in the gland and
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Pig. 199.—A breast in section ; it contains an endothelioma (perithelioma). Thenipple is unaffected. grow to the size of a walnut, and remain stationary ten,fifteen, and even forty years; then without warning it enlarges,infiltrates the gland, causes pain, and destroys life in a fewmonths. In another case the tumour will arise, grow quickly,ulcerate, and destroy the patients life in six or nine months.The microscopic structure of the tumours is similar. Endotheliomas have been observed in the mammary 410 ENDOTHELIAL TUMOURS gland, in the skin (especially in association witli moles andwarts), the uterus, and the omentum. These tumours some-times present clinical characters by which they may berecognized. For example, a woman came under observationwith a globular tumour in her breast. She stated that thetumour had been growing slowly for two years. The skincovering the mass was smooth and not infiltrated b) growth,and the nipple projected normally. The axillary lymph-nodes were enlarg

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