Transactions of the American Gynecological Society Volume . 26

Transactions of the American Gynecological Society Volume . 26

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1901 edition. Excerpt: ...138 benign; and Barling found 115 among 201. Targett, however, says 40 per cent. of all cases are malignant, while Weir puts the percentage as high as 80. Spurling found the relation of sarcomas to carcinomas to be 13 to 49, and Wendel found only 6 sarcomas in 46 cases.1 Vesical tumors in children are all sarcomas. Pathology. Three varieties of malignant growth have been found in the bladder--namely, carcinoma, epithelioma, and sarcoma. The growths are either single or multiple, and assume various forms. Some are round, hard, and smooth; others have the appearance of ulcers with raised edges; but there seems to be a very great tendency toward villous growths. It must not be supposed that because a growth is villous it is not malignant. Fenwick says that 41 per cent. of vesical carcinomas have a surface covering of villous processes, and pure villous tufts exist upon the surface of one-sixth of all sarcomata and one-fourth of the epitheliomas. These tufts do not always show a clearly defined malignant structure, but the base from which they spring has the characteristic formation. Targett maintains that the squamous epitheliomas are very much the most common. According to Weir, the most usual location for these growths is between the summit and the mouths of the ureters, especially on the posterior wall. One-half of the cases of carcinoma invade one or both ureteral orifices. Except when the growths are multiple, they are very rarely found on the summit of the bladder. Diagnosis. The diagnosis of cancer of the bladder can be made, first, by the subjective symptoms, and then by a careful physical examination of the patient and of the urine. The subjective symptoms, according to Fenwick, may be divided into three stages. In the first, which he calls...show more

Product details

  • Paperback | 138 pages
  • 189 x 246 x 8mm | 259g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236628330
  • 9781236628336