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Updated: May 14, 2025
On dissection, such a tumour is found to contain a curious mixture of tissues bones, skin, and portions of viscera, such as the intestine or liver. The question of the removal of the tumour requires to be considered in relation to the conditions present in each individual case. Cysts which form in relation to new-growths have been considered with tumours.
Before degenerative changes take place in the nerve substance, in such cases, pressure may completely paralyze a nerve when it is so situated. Melanotic tumors in the paraproctal tissue in some cases, because of the large size of the new-growths, cause paralysis of the sciatic nerve.
Ganglionic cysts are met with in other situations than those mentioned, but they are so rare as not to require separate description. Ganglia are to be diagnosed by their situation and physical characters; enlarged bursæ, synovial cysts, and new-growths are the swellings most likely to be mistaken for them.
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