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Updated: May 1, 2025
And such rebellions are our most terrible disease-processes, cancer and sarcoma.
#Hypertrophic Pulmonary Osteo-Arthropathy.# This condition, which was described by Marie in 1890, is secondary to disease in the chest, such as chronic phthisis, empyema, bronchiectasis, or sarcoma of the lung. There is symmetrical enlargement and deformity of the hands and feet; the shafts of the bones are thickened, and the soft tissues of the terminal segments of the digits hypertrophied.
Yet we are not without gruesome echoes of this lost power of regeneration in that our whole brood of tumors, including the deadly cancer and sarcoma, are due to a strange resumption, on the part of some little knot of our body-cells, of the power of reproducing themselves or the organ in which they are situated, without any regard to the welfare of the rest of the body.
There was one-half of a kidney that had been removed on account of a rapidly-growing sarcoma from a young man of nineteen, who had known of the tumor for six months; there was a good recovery, and the man was quite well in eighteen months afterward. Another specimen was a right kidney removed at St. Bartholomew's Hospital.
In its growth, a sarcoma compresses and destroys neighbouring parts, surrounds vessels and nerves, and may lead to destruction of the skin, either by invading it, or more commonly by causing sloughing from pressure. Inflammatory and suppurative changes may take place as a result of pyogenic infection following upon sloughing of the overlying skin or upon an exploratory incision.
Our age is, to his thinking, poor and inferior to the forties and the sixties only because we do not know how to abandon ourselves obviously to the passion and ecstasy of love. These voluptuaries must have in their brains a special growth of the nature of sarcoma, which stifles the brain and directs their whole psychology. Watch Laevsky when he is sitting anywhere in company.
The peripheral portion consists of soft sarcomatous tissue, which invades the overlying soft parts. The articular cartilage long resists destruction. The ossifying sarcoma is met with most often in the femur and tibia, less frequently in the humerus, skull, pelvis, and jaws. In the long bones it may grow from the shaft, while the chondro-sarcoma more often originates at the extremities.
Moore attempted to remove the tumor, but in consequence of some interference of respiration the patient died on the table. Tiffany reports several interesting instances of sarcoma, one in a white female of nineteen following a contusion of tibia. The growth had all the clinical history of an osteosarcoma of the tibia, and was amputated and photographed after removal.
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.
Army surgeons are not altogether unfamiliar with these tricks, but compared with the artful Hindoos the British soldier is a mere child in such matters. Excision of the larynx has found its chief indication in carcinoma, but has been employed in sarcoma, polyps, tuberculosis, enchondroma, stenosis, and necrosis.
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