. Annalen der Operation. , 5.5 cm. In der Breite und5 cm. In der Dicke. Die Masse wurde außen von einer filmigen Membran des konnektiven Gewebes bedeckt, durch die zahlreiche große, vaskuläre Kanäle dispergiert wurden. Unter dieser Kapsel befanden sich viele irregularlyoutlinierte, gelbliche Knötchen. Die Masse war ziemlich fest in der Konsistenz. Im Schnitt war die Schnittfläche diffus bräunlich-gelb gefärbt und irgu-larly lobuliert. An einem Pol der Masse befand sich ein großes Nekroseareal.das Exemplar wurde von einem halben Dutzend vergrößerter Lymphknoten begleitet; die meisten von ihnen waren gelblich-braun gefärbt und umrahmt

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. Annals of surgery. , 5.5 cm. in breadth and5 cm. in thickness. The mass was covered on the outside by filmy con-nective-tissue membrane, through which numerous large, vascular channelswere dispersed. Projecting beneath this capsule were many irregularlyoutlined, yellowish nodules. The mass was quite firm in consistence. Onsection, the cut surface was diffusely brownish-yellow in color, and irregu-larly lobulated. At one pole of the mass was a large area of necrosis.The specimen was accompanied by half a dozen enlarged lymph-nodes;most of these were yellowish-brown in color and were surrounded on theoutside by connective-tissue capsules. On section, the cut surface wasmoderately granular, yellowish in color and elastic in consistence. Microscopical examination of the accessory thyroid revealed the typi-cal histology and papillary adenocarcinoma. Microscopical examination ofthe lymph-nodes revealed extensive metastatic deposits. Practically allthe lymphoid tissue had been replaced by tumor growth. Fig. I.. ^ V Carcinoma of accessory thyroid. ARTIFICIAL ARTERIAL HYPEREMIA. 713 PARTIAL THYROIDECTOMY FOR EXOPHTHALMIC GOITRE. Dr. Willy Meyer presented a man, 36 years old, who came tothe German Hospital early in 1910 with all the signs of typicalexophthalmic goitre, and gave a history which dated back fiveyears. During the past eighteen months his symptoms had be-come more pronounced; there was dizziness, rapid pulse andmarked exophthalmus. He was first treated with the serum pre-pared by Merck, antithyroidin, in comparatively large doses. Aweek or ten days later the entire thyroid gland was exposedthrough a transverse incision, with the intention of removingthe right lobe. There was still profuse hemorrhage after theright thyroid arteries had been tied; this was immediately checkedafter crushing and ligation of the isthmus, which was muchenlarged. About one-third of the gland was left. The patient made a rapid recovery, and a few weeks after theoperation it was found th

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• bookcentury1800
• bookdecade1880
• bookyear1885
• buchunterlagenchirurgie