up of the polymorphous cell type.
Pancreas: The head of the voltaren 50mg diclofenac pancreas is voltaren xr 100mg almost en-
tirely replaced by a sarcomatous mass, which is made up
chiefly of small round cells, but contains also many poly-
Stomach: The base of the round ulcer and tlie flat
infiltrations of the mucosa consist of nodules of sarcoma.
The \ilcer is apparently caused by the mucous degenera-
tion of a large nodule projecting through the mucosa.
The structure of these nodules in the wall of the stomach
is the same as that found in the other tumors.
Intestine: The small nodules in the serosa arc of the
same type voltaren topical of sarcoma as that described above.
Testis : The tumors here present the appearance of
a small round-cell sarcoma. Areas of mucous degenera-
tion are abundant, and the blood-vessels are very luimer-
ous and ectatic.
Prostate: The prostate contains localized areas of
small round cells.
Lymph glands: The cervical, peribronchial, mesen-
teric, and retroperitoneal lymph glands contain largo
nodules of polymorplious or small round-cell sarcoma.
The majority of these show mucous degeneration.
Summary. — All voltaren sr 75 mg tablet of the growths are of the nature of
sarconui. The majority of the smaller nodules and the
periphery of all the larger ones are made generic name for voltaren up of small,
round, dce])ly-staining cells having but. little intercellu-
lar substance and lying in intimate contact with the
Jnne 24. 1809.]
WARTBHf: POLYUORPBOUS-CELL SAhCOMA OF THE SOSE.
blood-vessels. In the central part of all the larger nod-
ules, and in some of the small ones, the cells are larger,
polymorphous, and there is an increase in the intercel-
lular substance, which is myxomatous voltaren xr 100 in character. In
many of voltaren for sale the nodules the entire central part of the growth
has undergone a mucous degeneration, and early stages
of this degeneration are seen in all of the growths. The
tumors are further voltaren generic name characterized throughout by the num-
ber and size of the blood-vessels. From the structure of
the growth the diagnosis of the tumor as a myxomatous
polymorphous-celled sarcoma would seem most appro-
That the growth in the nasal fossa is the primary
one there can be no voltaren ec 75 mg reasonable doubt. The history of
the case, the development of the symptoms, the size
and structure of the nasal growth all support this view.
The exact site of origin can not be determined. The
patient affirmed that it appeared first in the right nostril
upon the right side of the saeptuni. ^loreover, the rela-
tion of the sarcoma to the polyps stated to have been
removed can not be settled in the absence of any definite
microscopical evidence concerning their structure. The
fact that the tumor everj'where shows a marked tendency
to a mucous degeneration of its cells and the formation
of a myxomatous intercellular substance might be takeu
as an evidence of an inherited tendency on the part of its
cells tending to show a descent from a myxomatous
polyp. This, unfortunately, will not admit of further
The points of special interest in this case are the
widespread metastases and the generic for voltaren intracardiac growth.
Secondaries were found in the dura, pineal body, hy-
pophysis, cavernous sinus, lungs, pleura, heart, liver,
«picen, kidneys, pancreas, stomach, intestines, perito-
niuum, testicles, prostate, and the cervical, bronchial,
retroperitoneal, and mesenteric lymph glands. The
richness of the growth in cellular element.", the scanty
stroma, the numerous large thin-walled blood-vessels,
the Bmallncss and shape of the cells, all contributed to
till- facility of the rapid dissemination of the tumor,
'riie numerous metastases throughout both venous and
arterial systems are easily explained by the above-men-
The free sarcomatous body in the right ventricular
cavity form.* the most important fenturo of the case.
Intracardiac and intravenous growths arc very rare both
ill carcinoma and sarcoma, but have been described in
both, more frequently in the case of the latter. Kau-
tluick * has dcscrilx'd a case of voltaren xr 100 mg carcinoma of the testis in
which there was a metastatic mass u[)on the tricuspid
valve extending tliroii;,'li the auricle into the inferior
Venn cava and through (he tricuspid orifice into the
cavity of the right ventricle. The origin of this seemed
to have Im'cu from an intrnvcnous growth in the inferior
vena cava, n fragment of which must have become sepa-
rated and grafted upon the tricuspid vnlvc, where it con- voltaren in canada
linnod to grow.
The pnibai)lc origin in my cnso is Ihnt voltaren 75 sr sug;;csled
(iliovc — namely, the breaking loose of n fwlypoid nodule
* ./..Mr, voltaren sr 100mg 0/ PmA. ami flart , January, IHWH
from the endocardium, its retention in the ventricle, and
its subsequent growth. Microscopically the endocardi-
um was infiltrated ^vith sarcoma cells, and in one place
there was found the thin, flattened growth on the sur-
face of the endocardium. This may have been the ori-
gin of the mass, or, on the other hand, it may have arisen
from a primary embolus of tumor cells retained in the
heart cavity. The numerous emboli of tumor cells
found in the lung vessels and the haemorrhagic infarcts
of the lung may have resulted from voltaren in usa the breaking loose
of portions of this intracardiac growth. The anaemic
infarcts in the spleen were also probably caused by
emboli of voltaren ec tablets 50mg sarcoma cells, as masses of these cells could
be seen growing in dilated blood-spaces of this voltaren rapid 25mg organ.
Another point of interest in the growth of this voltaren ec
tumor is its tendency to self-healing. As mentioned
above, this could be seen in all stages, from the begin-
ning of the formation of a granulation-tissue capsule voltaren 100 mg retard
around the area of degeneration to completely formed
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