Inhaltsangabe
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1880. Excerpt: ... CHAPTER XIV. ADIPOSE TUMOURS OF THE COED. Fatty tumours of the cord are occasionally met with in old persons, and are very liable to be mistaken for cases of omental hernia.' Isolated masses of fat are also liable to be mistaken for varicocele: the permanence of the swelling in cases of lipoma and its subsidence in varicocele on the patient's lying down is the distinguishing symptom. These fatty tumours are of the continuous or diffused variety, and are situated upon or diffused among the structures comprising the spermatic cord, or even upon the testicle itself. Morgagni mentions a case where fat was deposited in the testicle, and from which "he inferred that tumours of the testis occasionally originate from an unnatural generation of fat, and its subsequent increase." In St. Thomas's Hospital Museum, Prep. 2, E. E., shows the epididymis occupied by a mass of deep-yellow coloured fat, four times larger than the atrophied testis, and extending three inches along the cord, and which ultimately caused obliteration of the communication between the vas deferens and testicle. Fatty tumours of the cord occasioning no inconvenience do not necessitate any interference unless they tend to increase so much in size as to produce atrophy of the testis, as in the case previously cited, or where symptoms of strangulation occur sufficient to fear the combination of hernia. An incision should then be made carefully down upon the tumour, and the growth removed. Prep. 4, E. E., St. Thomas's Hospital Museum, shows obliteration of the epididymis and absorption of the testis, consequent upon pressure resorted to for the cure of a lipoma of the cord. THE END. PRINTED BY BALI.ANTVNK AND HANSON LONDON AND EDINBURGH r / LONDON, November, 1879. J. & A. CHURCHILL'S MEDICAL CLASS BO...
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