380 VETERINARY SURGICAL .THERAPEUTICS. 
chains are observed. Staphylococci with attenuated virulence may pro- 
mote glandular indurations resembling tumors; but the fact is rare; it is. 
observed, however, with the submaxillary glands of horses ; fistulous indura- 
tions can also be met in them, which suggests the presence of ulcerated 
tumors. 
Entire ablation is the only proper treatment. Easy for primitive tumor 
and superficial glands, it may be impracticable for deep ones. The con- 
dition of success is to operate early and stop only when healthy tissues are 
reached. All surgical interference is contra-indicated when the disease 
has gone beyond the glands that may be reached by the bistoury, specially 
when there are evidences of generalization. 
V. 
LYMPHANGIECTASIS. 
Those are glandular, truncular, or reticular. In man, spontaneous 
Jymphangiectasis have been described, whose cause remains to'be deter- 
mined, and symptomatic lymphangiectasis, related to the inflammation or 
compression of the white vessels. In diseases of the heart or of its en- 
velopes, there exists sometimes a general dilatation of the whole lymphatic 
system. At the autopsy of a horse suffering with valvular endocarditis 
of both left openings, with extensive hypertrophy of the right heart, 
Nocard found “such dilatation of the lymphatics that the thoracic duct: 
had reached the size of the arm, and that upon the colic mesentery, 
the chilliferous vessels, filled with transparent lymph, measured one and 
one-half to two centimeters in diameter.” Such lesions are of no in- 
terest in a surgical point of view, and lymphatic varices are extremely rare- 
in animals. Nocard has related two cases of them. In one, it was a soft. 
tumor, “ puffy and fluctuating, of the sheath; repeated capillary punctures 
gave at each time a small quantity of limpid transparent fluid; a serous, 
multilocular cyst was suspected. Post-mortem revealed that it was a. 
gathering of large lymphatic vessels rolled upon themselves, entangled 
intimately, whose walls, thick and very adherent at their points of contact,. 
had preserved in any other part of their length their characteristic thin 
aspect and their transparency ; numerous valvular contractions could leave- 
no doubt as to the nature of the tumor. 
“Tn the other case, the varices were on the lymphatics, satellites of the 
saphena vein, not far from the groin, where they formed little soft tumors, 
fluctuating, extremely irregular, enveloping the vein all round, upon a 
length of about twelve centimeters, to such an extent that it was impossi- 
ble to bleed at that vein; and that it could not be opened except at the 
lower part of the shank, below the inferior border of the short adductor. 
