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Updated: May 11, 2025
#Aneurysm by Anastomosis# is the name applied to a vascular tumour in which the arteries, veins, and capillaries are all involved. It is met with chiefly on the upper part of the trunk, the neck, and the scalp. It tends gradually to increase in size, and may, after many years, attain an enormous size. The tumour is ill-defined, and varies in consistence.
#Primary Tumours Osteoma.# When the tumour projects from the surface of a bone it is called an exostosis. When growing from bones developed in membrane, such as the flat bones of the skull, it is usually dense like ivory, and the term ivory exostosis is employed. When derived from hyaline cartilage for example, at the ends of the long bones it is known as a cartilaginous exostosis.
Her husband echoed her exclamation of surprise and joy, when on examining the ear, he found that even the tumour had disappeared. "I am now perfectly well," concluded Mrs. Fullerton; "entirely free from suffering, and with heartfelt gratitude I declare that it is to the prayer of the Mother of the Incarnation I am indebted for my cure."
Clinically, the osteoma forms a hard, indolent tumour attached to a bone. The symptoms to which it gives rise depend on its situation. In the vicinity of a joint, it may interfere with movement; on the medial side of the knee it may incapacitate the patient from riding. It incapacitates the patient from wearing a boot. When it presses on a nerve-trunk it causes pains and cramps.
The duct or ducts may be displaced by a tumour or a mass of enlarged glands, and may be accidentally wounded in dissections at the root of the neck; jets of milky fluid chyle may at once escape from it. The jets are rhythmical and coincide with expiration. The injury may, however, not be observed at the time of operation, but later through the dressings being soaked with chyle chylorrhœa.
It is well that it should be so, for a surgeon would be fit for little if he trembled and was shaken at the sight of the tumour he had to work to remove, as we should be; but his familiarity with misery does not harden him, because he seeks to remove the suffering with which he has become familiar.
As the vervain dries up in the smoke, so the tumour will also dry up and disappear. If the patient should afterwards prove ungrateful to the good physician, the man of skill can avenge himself very easily by throwing the vervain into water; for as the root absorbs the moisture once more, the tumour will return.
It was the most painful thing I ever remember to have endured; but, more annoying still, I could not masticate for several days, and had to feed on broth alone. For many months the tumour made me almost deaf, and ate a hole between the ear and the nose, so that when I blew it, my ear whistled so audibly that those who heard it laughed.
I suppose there is no community of any extent that has not unworthy members, persons that may be called its excrescence and blots, who have increased its size, as a tumour increases the size of the body, but are actually its weakness and disgrace. Such were the unworthy persons of whom I have been speaking.
An examination of the boy however, showed he was suffering from a kind of bony tumour. There are several chiefs in Ikoko and one of them also practises as a doctor. He has cleared a space about ten feet in diameter and enclosed it for a consulting room, while an inner chamber, still more closely surrounded, is the secret place where the infusions are made and the charms and fetishes consulted.
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