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Updated: June 12, 2025
He had stayed a few months in Lourdes, bathing in the piscines, and the obsession had left him. His statements were verified; he was congratulated and dismissed. There followed Emma Mourat to report; and then Madame Simonet, cured eight years ago of a cystic tumour in the abdomen.
In Litten's case a the clitoris was 3 1/2 inches long, and there was hydrocele of the processus vaginalis on both sides, making tumors in the labium on one side and the inguinal canal on the other, which had been diagnosed as testicles and again as ovaries. There was associate cystic ovarian disease. Plate 4 is taken from a case of false external bilateral hermaphroditism.
Apart from public business, connected with his own order and with the proposed reform of the Carmelite nuns, Luis de Leon was retained in Madrid by his failing health. On January 11, 1591, he was examined by Doctor Estrada, who reported that his patient was suffering from a cystic tumour of the kidney. This is a malady which might last many years.
The left thigh and leg were painful and edematous. The abdomen looked like that of the sixth month of pregnancy. The abdominal wall was tense, smooth, and without lineae albicantes. Palpation revealed a cystic immobile tumor, extending 2 inches above the umbilicus and apparently fixed by deep adhesions.
Delusions concerning crimes committed. Satyriasis. Could hear fire kindled to burn her. Diagnosis, "secondary dementia." Death at 54 from bilateral bronchopneumonia. Atrophic uterus. Cystic right ovary with twisted pedicle: atrophic left ovary: contracted kidneys. Delusions: "sorry she had lived": "broken her religion" Given to self recrimination. Autopsy: Death from hypostatic penumonia.
They are usually remarkably indolent, persisting often for a long term of years without change, and, like the hæmangioma, they sometimes undergo spontaneous cicatrisation and cure. Sometimes the cystic tumour becomes infected and forms an abscess another, although less desirable, method of cure.
Healed gastric ulcer. Moderate arteriosclerosis, slight cardial hypertrophy. Granular cystic kidneys. Mucous polyp and subperitoneal fibromyoma of uterus. Autopsy: Aortic and innominate aneurysm, hypertrophy and dilatation of heart. Interstitial nephritis. The brain, normal macroscopically, proved microscopically to show, in all areas examined, superficial gliosis.
In obstinate cases he suggests the complete extirpation of cystic goitre, but if the sac is allowed to remain it should be thoroughly rubbed over on the inside with green ointment. He warns about the necessity for avoiding the veins and arteries in this operation, and says that "in this affection many large veins make their appearance and they find their way everywhere through the fleshy mass."
It would be a difficult matter to decide which was the largest tumor ever reported. In reviewing literature so many enormous growths are recorded that but few can be given here. Some of the large cystic formations have already been mentioned; these are among the largest tumors.
Cystic distension of bursæ which communicate with the joint is most often met with in the region of the knee in cases of long-standing hydrops. It was suggested by Morrant Baker that cystic swellings may result from the hernial protrusion of the synovial membrane between the stretched fibres of the capsular ligament, and the name "Baker's cysts" has been applied to these.
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