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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    Reprinted from the ' Transactions of the Pathological Society/ of London,' 1887. Cystic tumours of the testicle. [With Plate X, and Table of Cases.] By Fkederic S. Eve. MY excuse for entering on the consideration of these peculiar tumours is the uncertainty still existing regarding some points in their morbid anatomy, and especially of their pathogenesis. Further, I am not aware of any considerable recent monograph dealing fully with the subject; nor do I think it probable that any observer has had the opportunity of examining so many specimens of the disease as I have been able to select from the museums of the Eoyal College of Surgeons and St. Bartholomew's Hospital. The descriptions are based on a microscopic examination of twelve specimens, and to these have been added a table of twenty- eight recorded cases, in which a careful microscopical examination had been made. These tumours may be divided into two well-marked groups— the innocent and malignant, or cystic fibromata or sarcomata. To these a third may conveniently be added, having characters often intermediate between them, and may be termed cystic myxomata or myxo-fibromata. The common cystic fibroma or adeno-fibroma of the testicle is illustrated by many beautiful specimens in the College museum, of which No. 4220^ may be taken as a good example. The charac- teristic features of this disease are only apparent on section, when the testicle is seen to be occupied by a tumour composed largely of cysts of tolerably uniform size, and usually not exceeding a quarter to half an inch in diameter. The cysts are largest and most numerous at the upper and posterior part of the tumour in a posi- tion corresponding to the mediastinum testis; they have a definite wall of fibrous tissue, and many of the cyst-like cavities are really of a tubular form; this is obvious on microscopic examination, and that they intercommunicate more or less widely is shown by the fact that fluid injected into one tubule issues from others at a con- siderable distance from it. • Particulars of all the cases referred to under a number or the name of the author may be found by reference to the Table of Cases.