Cystic tumour of the suprarenal body successfully removed by operation : with notes on cases previously published / by Alban H.G. Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1908
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Licence: In copyright

Credit: Cystic tumour of the suprarenal body successfully removed by operation : with notes on cases previously published / by Alban H.G. Doran. 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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    muscle ; some large veins were detected, but there was no indication of angiomatous nor of lymphomatous tissue ; a nodule of adrenal tissue was seen embedded in the stroma towards the outer surface of the wall, whilst deeper in the cyst wall lay a plexus of cells of the adrenal tissue type arranged in a highly atypical manner. There was no epithelial lining to the inner wall of the cyst, but a distinct layer of homogeneous tissue, apparently old coagulum, was observed. Under this tissue was another layer of fibres somewhat denser than in the deeper part of the cell wall. This appearance did not', in Mr. Shattock’s opinion, favour the view that the tumour was originally a solid cancer of the suprarenal body and that the interior had broken down. The specimen is now to be seen in the Museum of the College (Path. Series, 3,517 I will now make some mention of cases of this kind of tumour of more than purely pathological interest, mostly blood-cysts, more rarely lymphomas or adenomas, which are true new growths. Several cases which I will relate have already been collected by Henschen and by Terrier and Lecene, but I have made some corrections after reference to the original reports, and added other cases. The first and second are interesting because they were originally published in days long past by able observers who had not the resources of modern science at their disposal. I will therefore relate them at some length. A briefer abstract of each of the remaining cases will be sufficient, as they are recorded by surgeons and pathologists quite recently, in publications to be found in most medical libraries. The original report of this case, headed “ Ren Succenturiatus mon- strosus cum ulcere,” is to be found in a work published in Leipzig in 1670, entitled “ Miscellanea Curiosa Medico-Physica Academiae naturae curiosorum, sive Ephemeridum Medico-Physicarum, Germanicarum,” &c., observatio lvi., p. 152 (Rayer misquotes the page). A copy of this work is preserved in the Library of the Royal College of Surgeons of England. Greiselius, of Vienna, seems to have been a good anatomist, and evidently conducted the post-mortem examination of this case with much care. Cystic Tumours of the Suprarenal Body. already published. By “ cystic tumours ” I mean cysts of new growths Case I.—Greiselius.