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.

    145/228 (page 73)
    usually on the face. Adenomas are benign tumors which develop from normal glandular tissue, and may, therefore, occur in all glands. Adenomas which develop in places where glands are normally absent must be assumed to develop from congenital rudi- ments of supernumerary glands. In the skin, adenomas often develop from the se- baceous glands (adenoma sebaceum). They often occur in many places as small, round, flat, circum- scribed, encapsuled, movable tumors, of firm con- sistence, and with a dirty gray surface. The lymphatic glands are never affected, and there is no recurrence after extirpation. Adenomas which have become transformed into carcinomas have been incorrectly termed malignant adenomas. Differential Diagnosis. Intercurrent cystic formation may cause confusion with endothelioma of the skin, and ulceration with carcinoma. The oc- currence of calcification in the adenoma may make it as hard as carcinoma. Doubtful cases must be settled by microscopic examination. Treatment. Small multiple adenomas can be treated by cauterization or X-rays. Larger ones should be extirpated. Adenomas arising from the sweat glands (adenoma sudiporum) generally form larger, more nodular tu- mors, which after ulceration simulate carcinomas. The treatment consists in excision. Fig. 38 shows multiple pin-point adenomas of the sebaceous glands, which disappeared to a great extent under treatment by X-rays, Characteristic smegma-like matter can be expressed from larger adenomas.