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It is often stated that a ganglion originates from a hernial protrusion of the synovial membrane of a joint or tendon sheath. We have not been able to demonstrate any communication between the cavity of the cyst and that of an adjacent tendon sheath or joint.
The liver is by far the most common site of hydatid cysts in the human subject. With regard to the further life-history of hydatids, the living elements of the cyst may die and degenerate, or the cyst may increase in size until it ruptures. As a result of pyogenic infection the cyst may be converted into an abscess.
"Inclosed, doubtless, in a sac or cyst which Mother Nature has wrapped round it, the tooth is there in your little son's body; and for five whole years he has been the living shrine that held it!" It was quite true as events rapidly and completely proved.
They usually project from the surface of the bone, and may attain an enormous size; sometimes they grow in the interior of a bone, the so-called enchondroma. The hyaline cartilage composing the tumour frequently undergoes myxomatous degeneration, resulting in the formation of a glairy, semi-fluid jelly, and if this change takes place throughout the tumour it comes to resemble a cyst.
Large quantities of serum in left chest; lung adherent, and hardened at base. On cutting into the hardened lung, one side of the lump was found separated from the lung, with pus between the lines of separation, and the forming coat of the cyst outside of the pus; the other side of the lump was part and parcel of the hardened lung which had not yet had time to commence separation.
Also, the surface of the lung, when there were no adhesions, sound and right; all the lung white, and free for the entrance of air, except the base, in which was a cyst containing a pint or two of pus. Loose in this pus was a hard mass, as large as a two-quart measure, looking like marble; when cut through its centre, it appeared like the brittle, hardened lining in case 1.
Costal pleura smooth, shining; adhesions where there was motion; card-like and polished; no serum; lung apparently performing its functions well, except for a short distance above the air-tight cyst, where it was still hardened. It would seem as though Nature was intending to dissolve this lump, and carry it off by absorption.
In the College of Physicians, Philadelphia, there are photographs of this case, with an inscription saying that the patient was a young Chinese woman who measured but four feet eight inches in height, while her girth was increased by an ovarian cyst to five feet 9 1/8 inches. The tumor was removed and weighed 182 1/2 pounds; it contained 22 gallons of fluid.
It might be the third part of an hour after Godwin had left the house, when the door opened, and Githa, expecting the return of her sons, looked up eagerly, but it was Hilda, who stooped her head under the vault of the door; and behind Hilda came two of her maidens, bearing a small cyst, or chest.
General dropsy, elephantiasis, lipomata, myxedema, and various other affections in which there is a hypertrophic change of the connective tissues may be mistaken for general obesity; on the other hand, a fatty, pendulous abdomen may simulate the appearances of pregnancy or even of ovarian cyst.
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