Surgical Pathology And Therapeutics

Cover Surgical Pathology And Therapeutics
Surgical Pathology And Therapeutics
Warren, John Collins, 1778-1856. Cn
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The visceral or peritendinous layer is also often affected. The tendon in this case appears to be thickened, and its sheath is covered with a fibrinous exudation. Under the microscope there are seen on the surface tubercular products in a state of fibrinoid degeneration. Beneath these products there is a layer of highly-vascular granula- tion tissue containing giant-cells, and next the tendon there is either a loose connective tissue or the granulation tissue has pene- trated into the substance... of the tendon itself (Garre). The number of tubercles varies: sometimes they are found quite numerous and arranged in rows, each one being encapsuled in a ring of connec- tive tissue. If the cavity of the sheath remains well defined, there may be seen several layers of endothelium upon it, but this is often worn away at the points of greatest friction, and there are found papillary granulations which probably are the beginning of the rice bodies.
In the hygroma type the inner surface of the cyst has slight excrescences which have undergone fibrinoid degeneration.


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