A study of metastatic carcinoma of the stomach : report of a case of primary carcinoma of the testicle, secondary involvement of the vena cava inferior, metastases in the lungs, stomach, and falx cerebri / by John S. Ely.

  • Ely, John S.
Date:
1890?]
Catalogue details

Licence: Public Domain Mark

Credit: A study of metastatic carcinoma of the stomach : report of a case of primary carcinoma of the testicle, secondary involvement of the vena cava inferior, metastases in the lungs, stomach, and falx cerebri / by John S. Ely. Source: Wellcome Collection.

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    shaped alveoli, each sharply outlined and filled with a mass of round and polyhedral cells, having rather voluminous cell bodies and large nuclei, and heaped in the alveoli without supporting reticulum of any sort. These cell-nests are, many of them, of considerable size, and are very abundant, while the stroma is rather meagre in amount, stamping the tumors as medullary or encephaloid carcinomata. Fig. l. A. Carcinomatous nodule growing on right wall of vena cava inferior and projecting into its lumen. Many alveoli are visible, filled with epithelial cells or their debris. Above is a rupture of the wall of the nodule, closed now by a thrombus, through which some of the softened cancerous material has escaped into the lumen of the vessel. [X 12. The cells are represented proportionately somewhat too large.] B. A group of the carcinoma cells from the same specimen. [X 500.] Similar examination of one of the small nodular growths projecting into the vena cava inferior shows it to be in direct continuity with a car¬ cinomatous mass surrounding the vessel, through the wall of which it has evidently grown. In its centre is a cavity containing remnants of soft carcinoma tissue, but the greater part of its contents has been discharged into the lumen of the vein through an evident rupture of the nodule at its upper part, now closed by a loose clot. The accompanying drawing (Fig. 1) has been made from the specimen.