Cystic tumours of the testicle / by Frederick S. Eve.

  • Eve, Frederick Samuel, Sir, 1853-1916.
Date:
[1887]
Catalogue details

Licence: Public Domain Mark

Credit: Cystic tumours of the testicle / by Frederick S. Eve. 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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    of the normal tubuli of the rete testis. Virchow and Billrotli assented to this view, but both commented on the fact that a new growth of epithelium was observable in their cases. Nepveu, Klebs, and others considered that the cyst formation was due to compression of the tubuli by a primaiy growth of cartilage or coti- nective tissue. In late years examples of cystic disease have been described as cystic adenoma by Kocher, Malassez and Ehren- dorfer. Kocher's able article is not free from some confusion, as he hesitates to place some specimens of common fibro-cystic dis- ease among the cystic fibro-adenomata. Mr. Shattock^ and, after him, Mr. J. Bland Sutton,^ have contended that cysts in cystic disease of the kidneys originated from Wolffian remains included in the permanent kidney,^ and the latter author has drawn a parallel between this disease and cystic disease of the testicle. Mr. Sutton says (op. cit.), in the innocent variety of cystic disease of the testicle, the cystic spaces are lined with tesselated epithelium, and arise from dilatation of the collection of mesone- phritic remains familiar as the organ of Griraldes, situated between the testis and epididymis. But he has not supported this view as regards the testicle by any original histological observations. In passing, it may again be mentioned that the cysts in the innocent or fibro-cystic disease of the testicle are not exclusively lined with tesselated epithelium, as first stated by Mr. Curhng. Some time previously (Erasmus Wilson Lecture on Cystic Dis- ease of the Breast and Testicle, 1883) I suggested the possibility of the origin of the cystic disease of the testicle from fcetal rem- nants, and stated the case as follows:— The mixed character of their [cystic tumours] constituents, as in the presence of cartilage and sometimes of striped and vmstriped muscle, lends some sup- port to the view that they are of the nature of teratomata, and per- haps originate in connection with the anterior or sexual portion of the Wolffian body normally present in the mediastinum testis. It was for this lecture that the greater part of the work involved in this paper was done. It is my intention, in the succeeding por- tion of it, to consider the question of the actual mode of origin of the tumours under discussion. » 'Trans. Path. Soc.,' vol. xxxvii, 1886, p. 287. ' Erasmus Wilson Lectures, 1887, ' Lancet,' Feb. 5th, 1887, p. 256. ' Mr. Lockwood has combated this view, see ' Brit. Med. Journal,' March 5tli, 1887, p. 501, as I tbiuk with good reason.