Diseases of the thyroid gland and their surgical treatment / by James Berry.

  • Berry, James, Sir, 1860-1946.
Date:
1901
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the thyroid gland and their surgical treatment / by James Berry. Source: Wellcome Collection.

    175/408 (page 155)
    the inside of cysts which at first sight appeared to contain nothing but purely fluid contents. Fig. 63 is taken from a cyst, which, at first sight, appears to be a simple one. Closer examination, however, reveals traces of the original adenoma adhering to the inner surface of the cyst wall. Fig. 64, from a specimen in St. Bar¬ tholomew’s Hospital Museum,* shows a very soft adenoma removed by opera¬ tion. Before, and at the time of the operation, it was believed to be a pure cyst. It was carefully hardened for some days, and when laid open, was found to have the structure shown in the figure. The glandular nature of the tumour is obvious. Probably all,or nearly all, the larger cysts met within the thyroid gland originate in this way from the breaking down of a pre-existing ade¬ noma. Such cysts may attain a huge size, measuring several inches in diameter. {See Figs. 65 and 67.) Another mode in which a thyroid cystmay originate is from a haemorrhage into the organ. The soft, almost fria¬ ble, nature of the gland, especially marked when parenchymatous enlargement exists, readily permits of the accumulation of blood within it. This Fig. G4.—A very soft Cystic Adenoma. The white portions show coagulated colloid material. (St. Bart. Hosp. Mus. Xo. 2310G.) (Xat. size.) Fig. 63.—A small Thyroid Cyst cut transversely. At two points on the inner surface of the cyst wall may be seen traces of the original solid adenoma from which the cyst was de¬ veloped. From a middle-aged woman. (Xat. size.) * No. 2810g.