Abstract

OF LEFTMETASTATIC MIDFRONTAL CONVOLUTIONS.’CHANNING,ADRENAL ANDTUMORS ASCENDINGMASS.KNOWLTON, A.7907,M. D.,age 48BROOKLINE,B., American, Dr. removal of A. T. themale, Cabot, Harvard ofyears,single.12,Boston, University on the a massperformed the left Medical tumor: weighingnephrectomy kidney. “Thefor W.of a tumorF. reandWhitney,Department, grams being thatported to Dr. Cabot as follows the region of the kidney, was measuringa kidney. 19 by The I I by surface7 cms.,in general some of was in reddish colorits shapeirregularly and On placed more ochre reddish section, by or yellow, lessrounded color. the noduleselevations, kidney of new the places substance growth,them foundof to whichby numerous a deep ochre be largely in was iving nodules kidney softened, with small reothers a deep to the were tisandplaces ofdiscrete, centres,confluent, in manygeneral withwhole an interpersed sue. were walls. Inextremely with somevariegated appearance. areas of grayish, rather nodules the centres had and when near the some of the calicesThese translucent become surface were ofreplaced by cysts, Projecting into of the same irregularlyvery thin rounded a large was at-nodules somewhat tached, of the there material.new growth, elongatedand to some thrombus-like to the of the composedthese massfilling ureter. projectedthe pelvis and extending From the orifice of one a reddish-gray thrombuscommencement cut renal veins of the same17,Medico-Psycho-Association,i8,[Jan. structure