General surgical pathology and therapeutics, in fifty lectures : a text-book for students and physicians / by Theodor Billroth : translated from the fourth German edition with the special permission of the author, by Charles E. Hackley.

Date:
1871
Catalogue details

Licence: Public Domain Mark

Credit: General surgical pathology and therapeutics, in fifty lectures : a text-book for students and physicians / by Theodor Billroth : translated from the fourth German edition with the special permission of the author, by Charles E. Hackley. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    simple papilloma and villous cancer may be just as difficult to define as those between adenoma and carcinoma. As above stated, a tumor like a mushroom forms on the inner sur- face of the bladder, growing into its cavity, and floating in the m-ine, Fig. 189. Papillary formation of a villonB cancer of the bladder, after Lambl. a, without, b, with epi- thelium ; c, isolated epithelial cells of the villi. Magnified 350 diameters. its base being attached to the wall of the bladder, like a carcinoma, and its long, branched villi being covered with very large epithelial cells, while the ground-work of the papillie is composed of connective tissue, whose meshes contain epiithelial cell-cylinders, such as occur in carcinoma (Fig. 139). Now, a few words about the course of the above carcinomata as a class. They usually appear in elderly persons, say from the fortieth to sixtieth year, rarely later, but, unfortunately, it is not so rare for them to come earlier; I have seen cancer of the tongue in a boy of eighteen, and cancer of the uterus in a woman of twenty years. On the whole, country people are more subject to cancer of the lip tlian city people are. The earlier these carcinomata appear, the more pro- liferant the local tumor, the earlier the lymphatic glands are implicated, and the more rapid the whole course. It has often been observed