Spleen. — Enlarged; weight, two pounds. Regu-
lar in contour. Capsule thickened. Tissue firm and
solid, light purple in color.
Adrenals. — Negative.
Kidneys. — Weight, five ounces each. Capsules
were rough and adherent. Cortex thin and irregu-
lar. Markings indistinct and irregular. Tissue
firm. Cut surface somewhat combivent coupons granular. Perivascular
connective tissue combivent inhaler coupon considerably increased.
Bladder. — Small; it contained a small amount of
clear, light- colored urine. Mucous membrane normal.
Pancreas. — Small; the tissue was firm and light
pink in color.
Stomach. — The stomach was small buy combivent and its peri-
Showing the superior and anterior surfaces of the stomach mu-
cosa. (A) Pyloris. combivent inhaler coupons (#) Entrance of esophagus. (C-C) Area adher-
ent to and detached with the liver. (D) Large nodule, with ulcer-
ated cap. (£) Small nodule removed for microscopic examination.
(F) Strip detached from cheap combivent border of C~C.
toneal coat smooth. Just to the right of the esoph-
ageal entrance this organ was adherent to the in-
ferior surface of the left lobe of the liver over an
area about combivent nebulizer three-fourths of an inch combivent inhaler price in diameter. On
attempting to separate combivent udv these adhesions, the wall of
the stomach over this area came away attached to
the liver. The portion so detached was found to
present simply an area of dense cicatricial tissue.
On incising the combivent inhaler stomach the area of adhesions was
found to be surrounded on the internal surface by a
circle of nodular masses, varying in size from half an combivent mdi
inch to combivent inhalers an inch and a half in diameter. Similar
nodules were found scattered over combivent coupon the anterior and
May 14, 1898]
PRIMARY MULTIPLE SARCOMA OF THE STOMACH.
superior surfaces of the organ, and extending to the
pylorus, where they buy combivent inhaler nearly occluded the passage,
into which they projected in large, fleshy masses,
leaving only a narrow tortuous canal into the duo-
denum. These nodules were firm, and for the most
part combivent neb were covered by the mucous membrane of the
stomach. In places the mucous membrane over these
masses was eroded and ulcerated, and in such areas
the dilated vessels showed evidences of recent hemor-
rhage; some of the nodules were surmounted by
masses of blood-clot. The cut combivent dosage surface of the nodules
was firm and combivent cost somewhat granular, light pink in color,
and showed numerous blood-vessels. buy combivent online Connective-
tissue stroma was not evident. The mucous mem-
brane remained intact over the majority of the
masses, which evidently originated in the submucous
layers. The posterior and inferior surfaces of the
mucosa were mostly free from the growth. The cap-
illaries of the mucous membrane were universally
congested. The stomach contained a dark, green-
ish fluid, evidently largely composed of partly di-
There was no enlargement of the lymphatics in the
region of the stomach, and there were no evidences
of inflammation save in the area of adhesions be-
fore mentioned, where the process was evidently a
very old one.
The external scar, the cicatrix on the superior
surface of the left lobe of the liver, and the adhe-
sions uniting the stomach-wall to the liver, were in
almost a straight line.
Intestine. — The mucous membrane of the duodenum
was slightly congested. Both large and small intes-
tine were collapsed, and their mucous membranes
Cerebral Meninges. — Normal.
Brain. — The brain was well formed; the hemi-
spheres were symmetric; the convolutions broad and
well marked; the sulci deep. The cortical layer of
gray matter was deep combivent price and regular. The brain tissue combivent dose
was firm, but somewhat edematous. No lesions were
evident. Weight of encephalon, two pounds, eight
No new growth beside that in the stomach was
found in any part of the body. Microscopic sec-
tions of the nodular masses demonstrated that they
were composed of small, round-cells, very similar in
appearance and size to lymphocytes. The tissue was
very compact and cellular. Blood-vessels were
numerous, but were mostly of the capillary type, so
that the cells were found lying in direct contact with
the thin walls. Connective-tissue stroma was pres-
ent in small amount, but no regularity of arrange-
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