Identifier: tumoursinnocentm1911blan (find matches)
Title: Tumours, innocent and malignant; their clinical characters and appropriate treatment
Year: 1911 (1910s)
Authors: Bland-Sutton, John, Sir, 1855-1936
Subjects: Neoplasms
Publisher: New York : Funk
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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and Shattock observed one at the fourth month. The earlieststage has been observed by Shattock (Fig. 318), and a carefulexamination of the minute structure of the cyst, as well as acomparison of the histology of the cyst with that of the meso-nephros (Wolffian body), induced him to think it probablethat these kidneys consisted of a combination of mesonephrosand metanephros. Virchow regarded the cj^sts as dilatationsof the uriniefrous tubules in consequence of the absence of arenal pelvis. It is, however, a curious fact that congenitalcystic kidney occasionally occurs in association with im- CONGENITAL CYSTIC KIDNEY 589 perforate urethra. A very remarkable case came under mynotice in which a child born at full term, but with greatdifficulty on account of the large size of its belly, was foundto have an imperforate urethra, a large dilated left ureter,and a hydronephrotic left kidney. The opposite kidney wasa typical example of the congenital cystic kidney (Fig. 314). Adrenal. Bladder.
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Fig. 314.—Urinary organs of a foetus. The urethra is imperforate, the bladder hyper-trophied, the left ureter dilated, and the kidney hydronephrotic. The rightkidney is a congeries of cysts (congenital cystic kidney). This combination of the two forms of hydronephrotic and con-genital cystic kidney in the same individual, associated withimperforate urethra, supports Yirchows view that the cystsare due to ectasia of uriniferous tubules. The large number of specimens of congenital cystickidney preserved in museums indicates that the condition,if advanced at the time of birth, is incompatible with life. It 590 CYSTS is, however, quite certain tliat a precisely similar change ismet with in adults, and, what is also remarkable, it is veryfrequently associated with a similar change in the liver(see p. 566). The available facts indicate that a moderateamount of cystic change in the kidneys is not incompatibleAvith life, but as the disease advances the secreting tissue ofthe organs is slowl

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