Book Description

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1910 edition. Excerpt: ...of the ileum; this latter being less exposed to insult by reason of the fluid condition of the feces in that region. It may be noted that these tumors usually manifest themselves in in patients between 25 and 35 years old, and the malignant degeneration consequently occurs much earlier on than cancer usually occurs. About 50 per cent of the cases collected from the literature were under 35 years of age. A brief summary of the current theories followed. PATHOLOGICAL FINDINGS Several tumors were removed from each case, from the smallest size to the largest. The smaller tumors (that is, those that had recently sprung up) were shown to be composed mostly of granulation tissue, which showed numerous small blood vessels and interstitial fibroblasts. The entire structure is infiltrated by an acute exudate of leucocytes and serum, showing an acute inflammatory process. At the base of the polyp are a few slightly hypertrophied but rather typical glands. The surface epithelium over the polyp shows complete desquamation. The tumor appears to be composed almost entirely of an inflammatory granulation tissue. DIAGNOSIS: INFLAMMATORY TISSUE POLYP The section through the large polyp, taken from the same individual as the above, but at an advanced stage, showed a growth composed of adenomatous glandular proliferation. There is a narrow peripheral margin in some places about the growth, which shows granulation tissue. The greater part of the growth about the periphery is composed of simple adenomatous glandular proliferation. Throughout the polyp there is an exudate of serum and leucocytes, the latter showing a predominating number of eosinophiles. There is complete desquamation of the superficial epithelium. Some of the glands in the adenoma appear...