OCR Text |
Show 260 or "removes, Disstcrios. 0n dissecting the limb I found a tumour under the fascia and about three inches higher than the usual place of the popliteal aneurism. I found some nerves running over it of a remarkably pure whiteness. On tracing the sacro-ischiatic nerve I found it enter into the substance i OF TUMOURS. liar ‘" lat/M skunk-aw} :. of the tumour; but on more careful observation, I found that the Peroneal or Fibular nerve, though close on the tu- g' mour, yet was not incorporated with it; but that the tibial nerve, as is expressed in the plate, was incorporated with the tumour. On making a section of the tumour, it had much the appearance of a large ganglion on the tibial nerve; the fasciculi of the nerve could be traced but a little way into t its substance, and in the interstices of the fasciculated bands 5, i i _..,.3. ‘Mfi-~ June-van»? 2,. i . Joli this disease been understood earlier, I have little doubt that u"! cutting across the portion of the popliteal nerve which forms the tibial nerve, or the total extirpation of the tumour would have been succeeded by the perfect relief and recovery of the patient. . . r~w""".‘ "'t'm'w‘v-"d-z- M-d .- - w . xl x f. a vascular fatty substance could be observed, which resem= bled marrow. I think it is impossible to mistake the nature of this case. I have. no doubt that the injury received on the ham was the cause of the disease in the nerve. This however might be a mere coincidence. Yet I think we cannot close our eyes to this striking proof of the affection of a nerve in its course being referable to its extremity. Had the nature of Scetion of a cancerous eye representing the appearance of momhmncous bands peculiar to this diseased structure. A, the centre and origin of the disease. B, the seat of the [tumours now occupied by the diseased mass. C, the ions converted he to a solid concrete. D, the coats of the eye terminating at- ruptiy where they have been destroyed by the progress of the disease. E, the bands which have destroyed the coals oft/la eye in their progress, and hare struck into the ("I/r its-rill |