102 '^he Philippine Journal of Science 1913 



Spleen. — It is adherent to the diaphragm and to the abdominal wall. 

 The splenic substance is firm, and on section shows a reddish pulp with a 

 few grayish spots. The Malpighian corpuscles are well defined, as also 

 are the trabeculae. 



Kidneys. — These are relatively small. The capsule strips with some 

 difficulty, tearing in places and leaving a slightly rough surface, with a 

 few retention cysts wedged in the renal substance. Section shows a 

 cortex 5 millimeters thick, with a pale gray color in which one can 

 distinguish the striae with difficulty, the glomeruli remaining completely 

 invisible. Foetal lobulations still persist. Microscopically there is a mod- 

 erate hyperplasia of the intertubular connective tissue. The epithelium 

 in many uriniferous tubules is loose and lying in the lumen. There is 

 proliferation of round cells around the glomeruli and in the intertubular 

 spaces. 



Suprarenal capsules. — These are about normal in size. The cortex is 

 thin and has a pale yellow tint with yellow areas scattered in the surface, 

 and encloses a small quantity of milky white medulla. 



Liver. — This organ is adherent to the diaphragm and high-toned in color, 

 of firm consistence, and has a sharp border. Section shows a congested 

 surface with clearly defined lobulations. Microscopically there is a rather 

 extensive extravasation of blood between and over the hepatic cells. The 

 central and interlobular veins are distended by the presence of red globules. 



Gall bladder. — It is adherent to the under surface of the right lobe of the 

 liver. It contains sirupy, greenish yellow bile. The walls of the viscus 

 are slightly hypertrophied. The biliary tract is free. 



Stomach. — It contains a dark red, viscid fluid mixed with the rugosities. 

 There is slight hyperplasia of the lymphoid tissue. 



Duodenum. — This organ is normal. 



Pancreas. — It is of firm consistence. Section shows grayish lobulations, 

 spotted with a bloody tint. The duct of Wirsung is free. 



Intestines. — These are normal with the exception of the presence of a 

 few ascarides. The mesenteric nodules are palpable, but not swollen. 



Organs of the throat. — These are normal excepting a slight hyperaemia 

 of the trachea. The thyroid gland is not markedly hypertrophied, but 

 is slightly more bulky than normal. The thymus is atrophied and fatty. 



Cerebrum. — This shows at its base an encapsulated bilobar tumor 

 involving the pituitary body and its infundibulum. The capsule isolates it 

 completely from the cerebral substance, and internally it is slightly 

 adherent to the neoplasmic contents. The two lobes of the tumor are 

 joined one to the other, the anterior lobe being larger than the posterior. 

 The former has a more or less spherical form with a diameter of 8 

 centimeters, lies between the pons varolii and the olfactory bulbs in 

 the anteroposterior axis, and extends over the internal surface of the 

 temporal lobes in the transverse axis. The second or smaller lobe is 

 3 centimeters in diameter, and is the portion of the tumor which, circum- 

 scribed by the circle of Willis, is lodged in the sella turcica. It is some- 

 what firm and of a clearer color than the larger lobe. Over the surface 

 of both lobes there are various nodular growths more or less of the size 

 of a pea. The tumor on the whole is soft, fluctuating, and can be entirely 

 enucleated from the cranial floor. The surrounding cerebral substance 

 is softer and more friable than normal. The contents of the tumor is 

 soft, semiliquid, dark, and seems to be a voluminous haematoma with 



