Primary sarcoma of the peritoneum / by J.M. Elder.

  • Elder, John Munro, 1859-
Date:
1908
Catalogue details

Licence: In copyright

Credit: Primary sarcoma of the peritoneum / by J.M. Elder. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    4 cm, in length, made up of similar tissue to that described above; some on section are very hemorrhagic. In places the tumor has infiltrated the intestinal wall. There is an area in the ileum about 60 cm. from the ileocjEcal valve which is completely infiltrated by the tumor. This surface appears nodular and mottled. Upon opening, the mucosa shows a small area 3 by 2 cm. of tissue denuded of mucosa, hyperaemic in appearance, though smooth. The intestinal wall is about i cm. in thickness. The glands about the lesser curvature of the stomach and the head of the pancreas are markedly enlarged. The retroperi- toneal and pelvic glands are enlarged and soft. There are numerous polypi of tumor tissue upon the under surface of the liver and over the spleen. The Appendix is very much thick- ened, measuring 8 cm. in length and 2 cm. in thickness. The meso-appendix is similarly involved. Diaphragm: left fifth space, right fourth space. Pleural Cavities.—The right cavity contains a small amount of pus. The parietal and visceral pleurae are covered with a thick, yellowish, plastic exudate. The pleura is injected. The diaphragm is thickened, being mottled in appearance and in- filtrated with new growth. It measures 1.2 cm. in thickness. The upper surface contains numerous heaped up masses of similar tumor tissue. The left pleura shows a profuse covering of both parietal and visceral pleurae, with raised, flattened discs of tumor mass. The diaphragm is involved in a manner similar to that on the right side. Pericardial Cavity.—Between the pericardium and the sternum there are masses of tumor. The heart shows on its anterior aspect numerous small areas of whitish thickened epicardium. There is a normal amount of straw colored fluid. Spleen.—Also shows two or three small areas of tumor tissue on the upper surface. On section the spleen is pale. The Malpighian bodies are large and numerous. An increased amount of pulp comes away on scraping. Pancreas.—Normal in color and consistence, covered with tumor-glands and thickened peritoneum. The thoracic duct, especially in the abdomen, together with the lymphatics leading into it, is thickened and its lumen is obliterated by tumor tissue. Liver.—Weight, 2045 Gm. Normal in consistence, some-