Volume 1

Atlas of clinical surgery : with special reference to diagnosis and treatment for practitioners and students / by Ph. Bockenheimer ; English adaptation by C. F. Marshall.

  • Bockenheimer, Ph. (Philipp), 1875-
Date:
1908
Catalogue details

Licence: Public Domain Mark

Credit: Atlas of clinical surgery : with special reference to diagnosis and treatment for practitioners and students / by Ph. Bockenheimer ; English adaptation by C. F. Marshall. Source: Wellcome Collection.

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    SARCOMA GIGANTO CELLULARE (Giant-celled—EPULIS Plate XXVII, Fig. 35. The name epulis has been given to sessile or pedun- culated fibrosarcomas with numerous spindle and giant cells, arising from the periosteum or alveolar connective tissue of the upper and lower jaw. They are hard or soft tumors according to the nature of the cells, with a smooth surface covered by mucous membrane, of rounded form and the size of a walnut. They grow rapidly in women during pregnancy. In rare cases they are ulcerated. In children and young people they occur equally in both sexes. They often arise in the spaces between the teeth, and then have the impressions of the neighboring teeth on their surface. Sometimes they develop from the lateral surface of the alveolus and then grow over the teeth, usually the molars, which they may loosen. They are very vascular and bleed easily, but cause no other trouble. The tumors, although they are sarcomas, have usually a good prognosis, for their growth remains circumscribed, rarely involves the bone and gives rise to no glandular or organic metastases. ‘They only assume a malignant character by their frequent recurrence after incomplete operations. Differential Diagnosis. Polypi of the gums arising from alveolar fistula and bad teeth do not attain the size of epulis. The flaccid fibromas of the gum.seen in leontiasis ossea do not form globular tumors, and are only slightly vascular. Carcinomas occur at a later age, seldom arise