554 Diseases of Connect ice Tissue. 



At the operation, Dr Joseph Bell easily dissected out the lower 

 scrotal part along with the testicle. The upper part, however, had 

 penetrated into the abdomen and involved the peritoneum, part of which 

 was cut in removing the intra-abdominal mass. Besides the portions 

 removed, there were other parts which passed so deeply into the pelvis 

 that they could not be interfered with. 



The patient made a good recovery from the operation, but his after 

 history was not traced. 



The larger part, to which the testicle and a piece of the 

 skin is adherent, has the appearance in section of a well- 

 formed, firm, fibrous tumour. The smaller part, while originally 

 a continuation of the larger piece, is partially separated from it, 

 and shows a much softer and more uniform structure, with a 

 fibrous tissue less well developed. The portions which had 

 to be abandoned seemed at the time to be softer still. 



The specimen is an illustration of a tumour which, although 

 firm, fibrous, and slow-growing in the main, has certain parts 

 more rapidly growing and infiltrating in character, and corres- 

 pondingly softer and more embryonic in structure. 



G. C. 2754. 

 Presented hy Joseph Bell, F.R.C.S.E., 1886. 



9. 34. Fibro-SarcomatOUS TumoUP.— Cast in gelatine and 

 glycerine of the previous tumour, before operation, showing 

 its relative size and external relations. G. C. 2754a. 



Presented hy Joseph Bell, F.R.C.S.E., 1886. 



Sarcowatons Tuvwurs. 



9. 35. Sarcomatous Tumour.— Small tumour, with overlying 

 skin laid open from behind — in spirit. 



It has involved the skin, and protruded through it towards 

 the surface, but on its deeper aspect it has an indistinct capsule. 

 Its substance is of a uniform, somewhat fibrous texture, with a- 

 small cyst developed in the interior. G. C. 948. 



