54 
PROCEEDINGS OF SOCIETIES. 
Henry John Roper, Esq. ; Charles Joseph Lambert, Esq. ; Frederick 
Dn-Cane Godman, Esq. ; James Clifton Ward, Esq. ; Albert Davidson 
Michael, Esq.; Francis John Kingsbury, Esq.; and M. L’AbbeRenard 
was elected an Honorary Fellow. 
Walter W. Reeves, 
Assist. -Secretary. 
Medical Microscopical Society. 
Friday, May 18, 1877. — Henry Power, Esq., President, in the 
chair. 
Granular Kidney . — Dr. Goodhart made some observations, illus- 
trated by specimens, upon this subject. He referred especially to 
the interstitial change, discussing whether or not this was entirely 
atrophic. He believed that in very many cases at least it was so, and 
that the course of events was the following. First, oedema outside 
the tubes ; secondly, atrophy of the secreting cells ; thirdly, fusion of 
various walls of tubes with the oedematous products to form hyaline 
masses that look more or less like ill-formed fibrous tissue. He did 
not believe this change to bo the same as that seen in cirrhosis of 
the liver. The interstitial material there, was of the nature of new 
growth and resembled fibrous tissue ; there was none of the hyaline 
material that is found in granular kidney, and which material it was 
well to notice was never an accompaniment of rapidly growing but 
rather of degenerating tissue. 
Mr. Needham thought that the first change was interstitial cell 
growth which afterwards degenerated ; and that the condition of 
arterio-capillary fibrosis was always one of interstitial growth rather 
than of atrophy. As to any analogy with the liver, he did not think 
it necessary to seek for it, since the changes in the liver were any- 
thing but uniform. Why, too, he asked, if the hyaline change were 
atrophic, was puckering of the organ found ? That looked like con- 
traction of fibrous tissue. 
The President inquired whether the last or shrunken stage of a 
“ large white kidney ” could be told from a granular one by the 
microscope. 
Mr. Golding-Bird favoured the view that the interstitial change 
w r as not degenerative ; and appealed to the permanent change in the 
kidney of a pregnant woman that sometimes occurred, in support of 
his view. 
In reply, Dr. Goodhart admitted that the subject was yet sub 
judice ; and that what had been urged against his view, in regard to 
the puckering of the organ, was sound. He could distinguish micro- 
scopically the last stage of the “ large white kidney ” from the granular 
one, by the epithelium, which was fatty. 
Hernia of the Ovary (?). — Mr. Golding-Bird showed specimens 
of a tumour that he had removed from the groin of a gii'l set. 20. 
Clinically the symptoms were in every particular those of hernia of 
the ovary ; but the microscope showed only a structure just resem- 
bling that of a fibroid of the uterus. He found no Graafian follicles. 
