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: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

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.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    HEMANGIOMA CAVERWOSUM LINGUAE {Cavernous Hemangioma of Tongue) Plate XXVII, Fig. 36. Hemangioma cavernosum (cavernoma linguae generally develops from a previous congenital hem- angioma simplex, a slightly raised red spot which often remains unnoticed. It may also occur as a congenital tumor which becomes fully developed in adolescence or sometimes later, and extends more deeply than simple hemangioma into the mucous membrane and sub-mucous tissue. The tumor con- sists of new blood-vessels, especially capillaries, and cavities lined by endothelium and filled with blood. The cavernoma presents itself as a tumor with sev- eral small nodular projections on its surface, which have a bluish, glistening appearance. The mucous membrane in the region of the tumor is so thin that a dark fluid mass appears to be seen through it. Apart from this characteristic appearance, the soft- ness of the tumor, and the fact that it can be emptied by pressure and made tense by bending the head are worthy of notice. It thus consists of cavernous tissue, such as is found normally in the corpora cavernosa penis, and on this account the name erectile tumor has been applied to it. Besides the superficial growth there is also a deeper growth into the mucous membrane, so that the tumor may in- volve the whole tongue, the floor of the mouth, the soft palate, the lips and the cheeks. Eventually the tumor may involve the whole side of the face and extend through the orbit to the brain. In other cases the tumors are encapsuled. Sometimes there are multiple encapsuled cavernomas lying