This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1901 Excerpt: ...or sinus disease to account for it, and when with polypoid growths considerable deformities of the nose occur due to distention of its bony framework with displacement of neighboring parts. This seldom happens in connection with simple mucous polypi. Histological appearances of sarcomata are often misleading because of ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1901 Excerpt: ...or sinus disease to account for it, and when with polypoid growths considerable deformities of the nose occur due to distention of its bony framework with displacement of neighboring parts. This seldom happens in connection with simple mucous polypi. Histological appearances of sarcomata are often misleading because of the resemblance of their structure to that of some forms of mucous polypi. Carcinomata are more readily recognized under the microscope. Tubercular or syphilitic growths may resemble malignant tumors. Like these, tuberculous tumors are most often seated on the anterior part of the septum and turbinals. Histological examination will reveal the tubercular tissue, and the involvement of other organs helps the diagnosis. Syphilomata are much harder to diagnose, as microscopically they resemble round-celled sarcoma, but the free use of potassium iodide will make the diagnosis clear. The slow growth and hardness of osteoma and chondroma and the absence of ulceration are the chief points in their diagnosis. Bleeding polypi of the septum are differentiated by their usually remaining stationary in size and their generally pedunculated form. Ulcerated carcinomata may be mistaken for tertiary syphilitic ulcers, but there is generally some amount of tumor formation present in carcinoma, and microscopic examination of an excised piece will make the diagnosis certain. Rhinoliths and foreign bodies are oftcu surrounded by exuberant granulations, and are accompanied by a foul discharge. As carcinoma may leave fragments of bone bare and necrosed, diagnosis may be difficult. Cleansing of the nose and the local use of cocaine will aid in differentiation by facilitating inspection. Prognosis.--This is unfavorable in sarcoma unless its radical removal be possible...
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