The Alabama Medical Journal

Cover The Alabama Medical Journal
The Alabama Medical Journal
Medical Association of the State of Alabama
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In the fourth stage, glioma spreads by continuity to the brain or by metastaitis to the lymphatic glands, liver or other internal organs.
Pathology. Concerning the pathology' of glioma I will say but little, but with a few words will hurry on to tlie diagnosis, which in this case is the most important. This is aibeolutely a disease of infancy and childhood, although Von Graef has reported two cases in adults.
Doubt was thrown upon his diagnosis by subsequent investigators who have claimed that
...they were sarcoma of tlie choroid. Virchow and others consid^^red this disease to be sarcoma of the retina, in that the development was from the neuroglia, while Schwalbe, Wintersteiner, Graef and others claim it to be neuro-epithelioma.
The didcnssion of this question is of no practical value to us. The primary nodule grows by cell division and multiplication. It spreads through the interlamellar spaces, lyn^phatics and blood vessels. First the retina, then the choroid is invaded, and the disease extends back along the optic nerve to the chiaflfm.


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