Surgical diseases and injuries of the genito-urinary organs.

  • Thomson-Walker, John, Sir, 1871-1937.
Date:
[1914]
Catalogue details

Licence: Public Domain Mark

Credit: Surgical diseases and injuries of the genito-urinary organs. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

    961/990 (page 855)
    A less common form is an epitheliomatous ulcer with irregular depressed base and indurated rolled-over margin. A rare form infiltrates the glans penis. Extension takes place along the lymphatic channels or into the corpora cavernosa. The lymphatics pass along the dorsum and sides of the penis to the innermost group of the horizontal groin glands, which lie in close relation to the internal saphena Fig. 272.—Partial amputation of penis. Ventral flap formed ; corpus spongiosum with urethra cut across and dissected up. vein and the femoral vein. Lymphatic spread takes place com- paratively early. Kaufmann found that the glands were normal in only 8 out of 48 cases. The fibrous sheath of the corpora cavernosa resists the invasion of the growth for a long time, but eventually it is destroyed, and in a few cases the cavernous tissue is invaded. Narrowing of the urethra may be observed, but the wall is rarely destroyed. Metastases to viscera such as the lungs and Uver are rare. Histologically the growth is a squamous epithelioma. Symptoms.—When phimosis is present the patient complains