Secondary Dejjosits of Sarcoma. 567 



Dissemination of Sarcoma. 

 '9. 66. Secondary Sarcoma in the Heart. — Preparation of the 



heart of an elderly man, with both ventricles laid open to show 

 sarcoma in the wall — in spirit. 



Several years before death the patient had undergone amputation of 

 the leg for a round-celled sarcomatous growth, which had developed in an 

 old ulcer. The stump {vide 11. 84) remained sound, but the disease returned 

 in the brain as well as in the heart and lungs. 



The heart is attacked by secondary deposits of sarcoma 

 which have caused pericarditis, and in consequence adhesion of 

 the surfaces of the pericardium. Near the apex of the right 

 ventricle the invasion of the muscular substance by the disease 

 is especially well seen. A portion of the adherent pericardium 

 has been dissected away from the front and upper parts of the 

 heart. G. C. 2815. 



Presented bjj Charles W. Catiicart, F.R.C.S.E., 1888. 



'9« 67. Secondary Sarcoma in the Lung-.— Portion of a lung, 



imperfectly injected with vermilion, from the same patient as 

 the last — in spirit. 



One large and several smaller nodules of tumour substance 

 are shown in the interior of the lung. G. C. 2816. 



•9. 68. Secondary Sarcoma in the Lungr.— Section of a lung, 



studded with nodules of sarcoma of varying size — in spirit. 



The patient, a young person, had suffered from a large sarcoma of the 

 thigh, which was removed after ligature of the deep and superficial 

 femoral artery as well as of the vein. The patient recovered from the opera- 

 tion, but died from return of the disease in the lung. 



The lung is studded with rounded nodules of sarcomatous 

 substance. G. C. 3270. 



Presented by John Duncak, F.R.C.S.E., 1891. 



