File:Annals of surgery (1885) (14766602701).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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h 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. Donat describeda complex tumor of the testicle in which he recognized the bones of a rudi-
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-\odule in left : (a) also the alveola mentary skull and two ))igmented depressions which he interpreted as theembryonic eyes of a parasitic foetus (Ewini;). In 1845, Sir Astley Cooperwrote an elaborate treatise on the gross anatomy of teratoma testis. Johnsonin 1856 was the first to recognize the tridermal constitution of such tumors.Langhans. who was apparently the first to use the microtome in his micro-scopic work, together with Kocher, in 1887, laid the basis for an accurateclassification of testicular tumors according to microscopic structure. Theywere the first to suspect that the group of teratomata embraced a large pro-portion of all tumors of the testicle. Wilms, in 1896, was the first to MALIGNANT TUMORS OF THE TESTICLE IX CHILDREN demonstrate the fact that most tumors of the testis were teratoid in nature.In 1911, Ewing presented an excellent review of the literature and a patho-logical study of a series of cases and came to the conclusion that practicallyall tumors of the

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