d the sides of the face, but almost
any part of the body may be affected. Christot reports two cases in
which the tumors were located upon the cheek and the neck. Czerny
observed a case in which the tumor involved the lumbar plexus. Quoted
by Senn, Campbell de Morgan met with a plexiform neuroma of the
musculo-spiral nerve and its branches. The patient was a young lady,
and the tumor, which was not painful, had undergone myxomatous
degeneration.
Neuroma of the vulva is a pathologic curiosity. Simpson reports a case
in which the tumor was a painful nodule situated near the urinary
meatus. Kennedy mentions an instance in which the tumor appeared as
extremely tender tubercles.
Tietze describes a woman of twenty-seven who exhibited a marked type of
plexiform neurofibroma. The growth was simply excised and recovery was
promptly effected.
Carcinomatous growths, if left to themselves, make formidable
devastations of the parts which they affect. Warren pictures a case of
noli-me-tangere, a destructive type of epithelial carcinoma. The
patient suffered no enlargement of the lymphatic glands. The same
absence of glandular involvement was observed in another individual, in
whom there was extensive ulceration. The disease had in this case
originated in the scar of a gunshot wound received during the Civil
War, and had destroyed the side of the nose, the eye, the ear, the
cheek, including the corresponding half of the upper and lower lips.
Harlan reports a most extraordinary epithelioma of the orbit in a boy
of about five years. It followed enucleation, and attained the size
depicted in a few months.
Sarcomata, if allowed full progress, may attain great size. Plate 10
shows an enormous sarcoma of the buttocks in an adult negro. Fascial
sarcomata are often seen of immense size. Senn shows a tumor of this
variety which was situated between the scapulae.
Schwimmer records a curious case of universal small sarcomata over the
whole body of a teacher of the age of twenty-one, in the Hungarian
lowlands. The author called the disease sarcomata pigmentosum diffusum
multiplex.
The bones are a common seat of sarcomatous growths, the tumor in this
instance being called osteosarcoma. It may affect any bone, but rarely
involves an articulation; at times it skips the joint and goes to the
neighboring bone.
A case of nasal sarcoma is shown by Moore. The tumor was located in the
nasal septum, and caused a frightful deformity. In
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