This historic book may have numerous typos and missing text.
Purchasers can download a free scanned copy of the original book
(without typos) from the publisher. Not indexed. Not illustrated.
1900 Excerpt: ...to be due to cancer of the bile-duct, all the
gall-stones having been passed. Courvoisier found gall-stones
present in 74 out of 84 cases of primary cancer of the
gall-bladder; Brodowski (Naunyn, p. 153) in 100 per cent.; Jayle
(Soc. Anat., 1893) in 23 out of 30; Bertrand in 14 out of 15; and
Siegert in 95 per cent. of primary, but only in 15 or 16 per cent.
of secondary, carcinoma of the gall-bladder. According to
Schroeder, 14 per cent. of all cases of gallstone patients suffer
at some time from cancer of the biliary passages, and Naunyn is of
opinion that half the cases of chronic jaundice diagnosed as
cholelithiasis are complicated with cancer or are due to cancer
alone. This latter statement is of extreme importance, since
operation in the presence of cancer and chronic jaundice is very
fatal. The two theories which have been current, to explain the
Deutsch. Arch, fiir Klin. Med., 1889. co-existence of gall-stone
with cancer of the liver, are: first, the ' irritation' theory,
that gall-stones are formed first, and by acting as foreign bodies,
set up irritation, which leads to malignant growth; and, second,
the ' concentration ' theory, that gall-stones arise as a secondary
result, from stagnation of bile in the ducts, caused by their
obstruction from malignant growth. It is, however, very doubtful
whether, apart from a catarrhal condition of the mucous membrane,
gall-stones are formed. It should be remembered that the
cholesterin in gall-stones is derived, in all probability, not from
that present in the normal bile, but from the mucous membrane. Mr.
C. Beadles, in a paper before the Pathological Society of London,
stated that out of ioo post-mortem examinations at the Cancer
Hospital, 4 were cases of primary carcinoma of the liver, and all
|Country of origin:
Arthur William Mayo Robson
||246 x 189 x 4mm (L x W x T)
||Paperback - Trade
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