Identifier: transactionsofam2319amer (find matches)
Title: Transactions of the American Association of Obstetricians and Gynecologists for the year ...
Year: 1910 (1910s)
Authors: American Association of Obstetricians and Gynecologists
Subjects: American Association of Obstetricians and Gynecologists Gynecology Obstetrics Gynecology Obstetrics
Publisher: Philadelphia : The Association
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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theinstrument upon the recently inflamed urethra we were unableto do this successfully. The skiagraph made by Dr. Edward T.Bruce showed a faint shadow in the left kidney region, notsufficient, Dr. Bruce thought, to resemble stone, but did resembleanother case in which tumor was found. Repeated examinations were made for tubercle bacilli andall were negative. The urine at no time showed any crystallineelements. The diagnosis was not positively made, but we feltsure from the size of the kidney and the amount of hemorrhage,as well as the deterioration of the patients health, that operativeinterference was necessary. The latter was deferred for some 216 • J. GARLAND SHERRILL. days, owing to a bronchitis with which the patient was attackedearly in May. Operation.—On May 7, 1910, assisted by Dr. Bronner, throughan oblique left lumbar incision nephrectomy was performed,resulting in recovery. Upon incision through the kidney andgrowth, after its removal, the organ was found to be 6 inches
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Fig. 3. in length by 2 1/2 x 2 inches; at the lower pole an irregularlyrounded nodular mass was observed. A number of branchingvessels were seen on the surface of the tumor. On palpation itwas not so resistent as the other portion of the kidney, and a fewwhitish spots were seen. On section the kidney appearedslightly congested, with a tumor 3 inches in diameter at the lowerpole, apparently encapsulated with infiltration into the paren-chyma and also into the fat about the pelvis. Inside the capsule ADENOCARCINOMA OF THE KIDNEY. 217 was a grayish-white mass of material a little firmer than thickcheese. The remaining portion of the kidney showed somecongestion, but the tissue appeared to be almost normal exceptwhere the growth was infiltrated through what might be termedthe capsule. The following report of the pathological examination wasmade by Dr. John E. Hays, to whom I wish to extend thanks

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