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Partial extirpation of the thyroid gland is still practiced; and Wolfler has revived the operation of ligating the thyroid arteries in the treatment of tumors of the thyroid gland. Fibromata. One of the commonest seats of fibroma is the skin.
Multiple fibromata of the skin sometimes occur in enormous numbers and cover the whole surface of the body; they are often accompanied by pendulous tumors of enormous size. Virchow called such tumors fibroma molluscum. Pode mentions a somewhat similar case in a man of fifty-six, under the care of Thom.
#Secondary Cancer of the Skin.# Cancer may spread to the skin from a subjacent growth by direct continuity or by way of the lymphatics. Both of these processes are so well illustrated in cases of mammary cancer that they will be described in relation to that disease. #Sarcoma# of various types is met with in the skin. The fibroma, after excision, may recur as a fibro-sarcoma.
New growths include the fibroma, the myxoma, the myeloma or giant-celled tumour, and various forms of sarcoma. #Diseases of Individual Bursæ.# The olecranon bursa is frequently the seat of pyogenic infection and of traumatic or trade bursitis, the latter being known as "miner's" or "student's elbow." [Illustration: FIG.
It is met with also in the subcutaneous and intermuscular cellular tissue, and in the abdominal wall, where it sometimes attains considerable dimensions. Various forms of fibroma are met with in the mamma and are described with diseases of that organ. The fibrous overgrowths in the skin, known as keloid and molluscum fibrosum, and those met with in the sheaths of nerves, are described elsewhere.
#New Growths in the Skin and Subcutaneous Tissue.# The Angioma has been described with diseases of blood vessels. Fibroma. Various types of fibroma occur in the skin. A soft pedunculated fibroma, about the size of a pea, is commonly met with, especially on the neck and trunk; it is usually solitary, and is easily removed with scissors.
Transition forms between soft fibroma and sarcoma are met with, so that in operating for their removal it is safer to take away the capsule along with the tumour, and the patient should be kept under observation in view of the risk of recurrence. The skin especially the skin of the buttock is one of the favourite seats of fibroma, and it may occur in a multiple form.
Treatment. The solid varieties of odontoma can usually be shelled out after dividing the overlying soft parts. In the follicular variety, it is usually sufficient to excise a portion of the wall, scrape out the interior, and remove any tooth that may be present. The cavity is then packed and allowed to heal from the bottom. #Fibroma.# A fibroma is a tumour composed of fibrous connective tissue.
Structure of skin Blisters Callosities Corns Chilblains Boils Carbuncle Abscess Veldt sores Tuberculosis of skin: Inoculation tubercle Lupus: Varieties Sporotrichosis Elephantiasis Sebaceous cysts or wens Moles Horns New growths: Fibroma; Papilloma; Adenoma; Epithelioma; Rodent cancer; Melanotic cancer; Sarcoma AFFECTIONS OF CICATRICES Varieties of scars Keloid Tumours AFFECTIONS OF NAILS.
The cut surface of the soft fibroma presents a pinkish-white, fleshy appearance, resembling the slowly growing forms of sarcoma; that of a hard fibroma presents a dry, glistening appearance, aptly compared to watered silk. The soft variety grows much more rapidly than the hard.