Pe Vee tel> oll a ETS ITE ate + CTA aes == ~ w= J OAL IN AL MORPHOLOGY EDITORIAL BOARD Epwarp PHEtps ALLIS, JR. Milwaukee Epwin G. ConkKLIN Princeton University Henry H. DoNALDSON The Wistar Institute Mitton J. GREENMAN The Wistar Institute Ross G. Harrison Yale University G. Cart Huser University of Michigan Horace JAYNE The Wistar Institute Frank R. LILure University of Chicago FRANKLIN P. Mau Johns Hopkins University CuHartes S. Minot Harvard University Tuomas H. Morcan Columbia University GrorcEe H. Parker Harvard University CHARLES O. WHITMAN University of Chicago Epmunp 13. WILSON Columbia University VOIP OCUx PHI LADELPHI:A tae wWisl AR INS TILULE OF ANATOMY. ANDY BIOLOGY CONTENTS. OF: VOL, XIX. No. 1.—FEBRUARY, 1908. PAGES. FRANKLIN P. MALt. A Study of the Causes Underlying the Origin of Human Monsters. (Third Contribution to the Study of the Pathology of Human EEO EMOG Ni at pers cot ee tame her Ve abe Meta tec thane 3-368 No. 2.—-OcTOBER, 10908. I. Heten Dean Kine. The Oodgenesis of Bufo lentiginosus ...... 369-438 Il. Heven Dean Kine. The Structure and Development of Bidder’s Organ in Bufo lentiginosus ......... 439-408 Ill. JAcos REIGHARD AND JESSIE PHELPS. The Development of the Adhesive Organ and Head Mesoblast of Amia ....... 469-409 IV. JAcosp REIGHARD AND S. O. Mast. Studies on Ganoid Fishes. IT. The Develop- ment of the Hypophysis of Amia .... 497-510 V. Roy L. Mooptr. The Lateral Line System in Extinct Am- PUVO UGA se gk 5 oe Mme ver ee Ge 511-540 VI. SorsterJ. ANTHON. The Larva of Ctenophora angustipennis, 1 TUE a Nimes oa Rey eta Oe ET Be Se a 541-560 No. 3.—DECEMBER, 1908. ArTHUR Day Howarp. The Visual Cells in Vertebrates, Chiefly in Nec- CHES HUUCUNOSUS S «< iy tate foes at hs) s Sha sulhewte he 561-62 Volume XIX. February, 1908. Number 1. | JOURNAL OF MORPHOLOGY. A STUDY OF THE CAUSES UNDERLYING ‘THE ORIGIN OF HUMAN MONSTERS. (THIRD CONTRIBUTION TO THE’ STUDY OF THE PATHOLOGY OF HUMAN EMBRYOS.) By FRANKLIN P. MALL, ProrEessor oF ANatTomMy, JouNs Hopkins University, BALtimore, Mp. PAGE MEO CITC ELOLIMN erecta oacis oo Seca Baum sraceeiaie ws ee Sa alates cleieje'e, bisleuelarefore 2 Part I lsiaiaareall see cea es Secnoo bem BeBe aoe or ol6 Namo Geiaton doit o amar raatn (a) Experimental : (a) Datibles Monster Ssiseke Sede ce + ccieln nie cleans sic ov ole ale « osniely 17 (b) Lithium embryos and nodular forms in chicks and man...... 21 (c) Experiments with salts of potassium and changes especially TITRE Cleantiertin ey. ecu tae as as ncvenscte etlekorn aus erotocgn ei@isiarsavo.a's) stale 25 (d) Sodium monsters—spina bifida and anencephaly ............ Be (e) The destruction of tissues in magnesium monsters, cy- elopia atid club-f00t. - 02 1. ewe Pasi wea e Peele nse seas 43 BapMOlOSICAl GVA. 6 fac oes socio ednin see asias eres At Hon OCP PR ita cOmen 48 REWits PYERUATICICS, vo nec nes ecica's cies vies ae ted oes wees Fetes aewaseeeesss 58 I 2 MALL. {Vor. XIX. - PAGE Unruptured tubal pregnancies. .......0..4.0 occ eee cee ede cree ee cen 60 Ruptured tubal pregnancies .......... 6. eee e ence cee cee eee eens 65 Partial or complete destruction of the amnion, leaving only the mbiliGal ~vesicl@: ja.%5 es eke ea ee ed clone eee erent 69 Ova in which the embryo and amnion have been destroyed, including certain moles. «.25%iBes chroukte.ee Waichanoe Bae os ott eral ene 82 Pathological ova in which the embryo has been destroyed, leaving a portion of the umbilical cord and the amnion .............. 90 Pathological embryos sot the second weels {io siemcm tsetse eee 07 Embryos. of. the -thisd! sweek 2 ace hae aicf- caver ate toi iene crete 102 Embryos: of the. founnthy weeksncer\ iso creo osetia bs eee ese ieee 107 Pmbryos'.of (the filthy week craters ca seer ttc chs were emer 113 Exfibryos: of athe sixtle pweekk steve ails & lense ste pestarerne satan seared 118 Embry@sy ofsthe; seventh gweekein jae tise icicle fatate cjaler Soleo ct ane beeeraye rege 12 Embryos of the eighth week and older ....... ORAS SOG oe ee 133 Part i: Description of. the specimens, and ieticeso, 222 at a diae nuiiecsias Aeveelrr te 139 Mescrmbtiow of themplates sence... tee. ceca icin seetotes- ayaa ene eerie eae ete cae 305 INTRODUCTION. The present communication is the outcome of a study of 163 pathological human embryos which I have collected during the past fifteen years. The first contribution! which I made to this subject included a report of 53, and the second? of 20 of these embryos. These two studies are rather anatomical in nature and do not consider the causes which produce pathological embryos, nor their relation to ordinary human monsters. A more careful study of my specimens, which have more than doubled in number during the past five years, establishes beyond doubt (1) the identity of path- ological embryos and small monsters, that is, many of them would have developed into real monsters if they had not been aborted, and (2) that all of them are developed from normal ova due to external influences,—in man to a condition which I shall term faulty implantation. From the earliest ages in the world’s history the study of monsters, and the causes which produce them, has been one of the capital problems in anatomy, medicine and natural history. Supernatural causes for the production of monsters, like the influence of the gods, celestial or diabolical, or lunar influences, as expressed in their name, monster or moon-calf, held for a long time universal sway and are still believed in by many ignorant people. However, the Greek naturalists and physicians were inclined to ascribe them to natural causes, which belief was gradually displaced in the Dark Ages by the one that monsters were hybrids of bestial origin, a theory which was finally overthrown in the eighteenth century. Equally general has been the theory that maternal impressions affect the offspring and convert them into monsters. This *Mall, Welch Festschrift, Johns Hopkins Hospital Reports, IX, 1900. *Mall, Vaughan Festschrift, Contributions to Medical Research, Ann Arbor, 1903. 1 3 4 MALL. [Vou XIX. belief is of great antiquity, and is at present of world-wide distribution. It also was attacked in the eighteenth century, first by Blondel from a philosophical and then by Haller from a scientific standpoint. All the theories can be resolved into the simple question: “Are the conditions which produce a monster germinal and therefore hereditary, or are they produced from normal germs by external influences?’ The discussion on both sides of the question has been a long one, conducted during many years by the ablest masters, among whom are always in- cluded the leading anatomists of the time. However, the theory of external influences gradually gained ground during the nineteenth century, as the science of embryology was cultivated more and more. But here again we have two schools, the one believing that monsters are formed from normal germs due to maternal impressions, the other that they are due to mechanical influences. It may be noted here that the obstetricians and gynecologists of America as a class advocate strongly the theory of maternal impressions, due largely, no doubt, to their insufficient scientific education. On the other hand, we may pride ourselves over the masterful strokes of American teratologists against this theory; the experimental teratologists have produced double monsters, spina bifida and cyclopia, under the very noses of these prac- titioners, but they continue their futile speculations over mere coincidences. With Meckel, who laid the embryological foundation for a scientific teratology, and the Saint-Hilaires, who made the first teratological experiments, we have the beginning of the development of the mechanical theory. It appears in a variety of forms, as, for example, that monsters are due to tight lacing which causes pressure upon the embryo, or to the contracting uterus which naturally might have the same effect. However, this theory was gradually transformed by tera- tologists so that now it rests upon the idea that amniotic bands constrict or compress the embryo, thus bringing about its deformity. Occasionally it has been found that monsters are No. 1.] ORIGIN OF HUMAN MONSTERS. 5 attached to the chorion through newly-formed bands of tissue, and such bands, whether present or not, are held responsible ‘for all terata. This coincidence, as I term it, cannot be of frequent occurrence, for usually there is present an hydram- nios. Nor can even the “coincidence” occur in anamniotic animals. Furthermore, no amniotic bands were ever found in any of the 169 specimens which I have studied. In place of these theories it is my purpose to demonstrate that all monsters are produced by external influences upon normal ova which affect the nutrition of the embryos due to faulty implantation of the ovum. That the power to become a monster is present in every ovum is fully demonstrated by experiments upon a variety of vertebrates as well as by all of my pathological ova, especially those obtained from tubal pregnancies. The changes found repeatedly in the chorion are no doubt primary; they are usually of an hemorrhagic nature, often indicating inflammatory changes in the uterus. I shall only hint at the cause for the changes in the uterus, which may interfere with the formation of the decidua, and recommend this field as a very fertile one for gynecologists and obstet- ricians to investigate. At any rate, the change interferes much with the attachment of the ovum, and this condition and what results from it I have termed faulty implantation. It has been impossible, in fact it is not desirable, to discuss extensively the immense amount of excellent literature upon teratology. The whole makes one of the best chapters in medical literature to which the greatest minds of medicine have contributed their best efforts. One cannot go through these writings, many of which are comprehensive, without laying them aside with profound respect. In this study I have used many of them freely, but make, however, very few references.* I have also avoided technical terms as much as *J. F. Meckel, Handbuch d. pathol. Anatomie, Leipzig, 1812. Forster, Die Missbildungen des Menschen, Jena, 186s. Bischoff, Wagner’s Handworterbuch, 1842. Ahlfeld, Die Missbildungen des Menschen, Leipzig, 1880-1882. Part 6 MALL. [Vo.t. XTX. possible, and in general have adopted Ballantyne’s classifica- tion, which, in turn, is based upon Tarufh’s. I wish it were possible to thank adequately the many physicians who have contributed the specimens and who have responded so generously to my many inquiries. All data obtained from them are given in quotations under the descrip- tion of the specimens, which are also properly credited to the donors. Some names will be seen repeatedly, as Miller, Boldt, Lamb, Brodel, Ballard, West and Minot. In addition, I wish also to thank my colleagues at the Johns Hopkins, who have aided me in every possible way to bring together the gynecological, obstetrical, pathological and experimental embryological evidence. In this paper all of the embryos mentioned in the two pre- vious ones are discussed, and brought together in Part Il. The essence of the first contribution is given, and all of the second contribution is incorporated in this publication, so in a measure it may be viewed as a study of the whole collec- tion. However, the various steps by which I came to arrange the specimens, as I have, can be understood only by consulting the two previous publications. III, which was to be the important part, never appeared. Fortunately, however, Ahlfeld’s library, which is very complete, was presented to the Johns Hopkins University. This I have consulted freely and in a way it makes up for the missing Part III. Marchand, Missbildungen, Eulenburg’s Real-Encyclopedia, 3d edition, 1897, Vol. XV. Taruffi, Storia delli Teratologia, 8 volumes, Bologna, 1881-1895. Hirst and Piersol, Human Monsters, Philadelphia. Piersol, Teratology, Ref. Hndbk. Med. Sci., new edition, Vol. VII, 1904. Ballantyne, Antenatal Pathology, 2 volumes, Edinburgh, 1904. FE. Schwalbe, Die Morphologie d. Missbildungen des Menschen und der Thiere, Jena, Pt. I, 1906, Pt. II, 1907. PART <1: HISTORICAL AND GENERAL. HISTORICAL.* The changes found in the pathological embryos to be described in this memoir are so radical in nearly all specimens that it is almost useless to speculate regarding the fate of the embryos had they continued to grow to the end of a normal pregnancy. Could the circulation be maintained these specimens ‘might have developed into amorphous monsters, a condition which is probable only when there is a normal twin foetus to supply the nutrition. In only one of my specimens (No. 87) are the possibilities for such a termination present. Here on one side of the chorion there is a normal embryo of the third week and on the other side a highly developed umbilical vesicle with but a rudimentary amnion, but no real body of an embryo. In all of the other twin specimens the changes in both embryos are radical and identical, so that we could not hope to have had the one embryo dependent upon the other for its circulation and nutrition. In general then the changes in the embryo and its mem- brane, due to the inflammatory action in the uterus, are so great that if the ovum is not aborted at an early date (as it usually is) it is converted into a solid mole which in the course of time is likewise expelled. A few specimens, how- ever, are but slightly changed, and these would probably have grown into some sort of merosomatous monsters had they been retained in the uterus. From my experience I am con- vinced that in the study of specimens like these we have the key by which we can unlock many of the mysteries of teratology. In my first two communications I carefully avoided all speculations on this subject, for I was well aware of the sad state this subject is in, and mere speculations would not *The data here recorded are taken largely from Ballantyne’s Ante- natal Pathology. 9 10 MALL. [VoL. XIX. help teratology out of its difficult position. However, what little progress has been made in the study of terata has been made by the embryologist and we naturally still have conf- dence in him. The course to be followed, therefore, is the study of early abortions, and this I have done diligently. I can, therefore, subscribe fully to what Ballantyne has recently said in his able and scholarly treatise on antenatal pathology. He says, page 77: “Now, in reference to the inquiry into the problems of teratology or embryonic path- ology, let me emphasize the importance of a thorough | scrutiny of the foetal membranes and of the routine exami- nation, microscopic as well as macroscopic, of all abortion sacs and their contents thrown off in the early months of pregnancy. What is most wanted at present are careful descriptions of monstrous embryos from abortion sacs, obser- vations upon teratological conditions while the organism is still in the embryonic period of antenatal life. These are essential for the further progress of a knowledge of human teratogenesis, and they are at the present time the desiderata of embryonic pathology. Microscopic human monstrosities are, aS a matter of fact, almost unknown.” The last sentence is hardly justifiable, for a pretty large number of young pathological embryos have been described by His, Giacomini and myself, but these do not resemble monsters at full term any more than an embryo of the fourth week resembles a new-born child. Whether the early path- ological embryos are young monsters, or young monsters of so extreme a degree that they will not continue to grow, is’ now the most important question of the capital problem in teratology. I think that the specimens that are reported in this publication contribute to the answer of this question, but many more observations are required before the answer will be accepted by all teratologists. The history of teratology co-exists with that of medicine and includes mythology, the vilest superstitions and scientific embryology. The medical profession have abandoned the idea of supernatural causes in the production of monsters No. 1.] ORIGIN OF HUMAN MONSTERS. II and have gladly exchanged the hybridity theory (cohabita- tion with lower animals) for the more innocent one of maternal impressions. The last notion is of great antiquity, is of world-wide distribution and is intimately related to witchcraft. It is gratifying to note that these superstitions, based upon coincidences, have been raised from medicine by the study of scientific anatomy, and the more recent work by J. F. Meckel in this direction can be ranked with that of Morgagni and Virchow. Morgagni gave the first blow to humoral pathology by giving medicine an anatomical basis, Meckel cast out devils, witches and mother’s marks by placing teratology on an embryological basis, and Virchow won the third great victory for anatomy, probably the greatest con- tribution ever made to medicine, by giving it an histological basis. It would be inappropriate to enter any further into a discussion of teratogenesis in this publication, for in general the superstitious notions are abandoned by scientific physi- cians, although they may still be entertained by a few prac- titioners of some eminence. It is humiliating to state that these practitioners seem to reside exclusively in America, but we have every reason to hope that when scientific medical education becomes general with us they will also disappear. Most of the great men who have contributed to the prog- ress of medicine, from Hippocrates and Aristotle to the modern scientists, tried to ascribe the production of mon- sters to natural and not to supernatural processes. From the first the explanations were as satisfactory as they are to-day, for even now we barely do better than Aristotle did. How- ever, the spread of the scientific spirit beginning with the study and practice of anatomy by all medical students has driven medical superstitions pretty well out of the medical profession. In this respect we differ from the ancients. The first scientific explanations were of a crude mechanical nature, like those due to excessive lacing, malformations of the uterus or a twin fcetus, which might injure the embryo. This notion: was superseded in part by the theory of Morgagni, who maintained that monsters were due to fcetal disease. This 12 MALL. [Vot. XIX. again received its death-blow from J. F. Meckel, who pointed out the well known fact that many structural anomalies are hereditary. This observation naturally divided terata into two groups: those which are hereditary and germinal, and those which are not hereditary but due to mechanical injury or disease. I think this line of division should be drawn much sharper than it is, but until our data can be arranged better than is now possible we are still quite uncertain re- garding a large number of terata. It seems to me that many merosomatous terata (all kinds of anatomical anomalies and variations of the extremities, like polydactyly and possibly some cases of arrested development like ectrodactyly and hare-lip) are germinal and cannot be produced experi- mentally. Other monsters in which more or less of the foetus is destroyed, as in iniencephaly, spina bifida, anen- cephaly, cyclopia, club-foot and many varieties of arrested de- velopment, are not germinal but are produced in some me- chanical way which usually interferes with the nutrition of the embryo. In my notes I have been in the habit of calling those belonging to the first group as being abnormal and those to the second group as pathological. The one is germinal with a hereditary tendency, and the other is acquired and therefore not hereditary; polydactyly is inherited, cyclo- pia is not, although there seems to be a tendency for it to occur more than once in abortions from the same woman. However, if this is true, it may be due to the same cause in the uterus of the mother affecting the nutrition of successive ova, thus producing similar deformities in the embryos. Usually a woman who gives birth to several monsters has the varie- ties mixed up pretty well, the first may have hydrocephalus, the next hare-lip and the third cyclopia. Reducing it to a matter of chance, a woman who has given birth to one monster is more likely to give birth to a second one, which, however, is rarely like the first. In experimental teratology in birds and amphibia the result is the same. Here monsters may be produced experimentally with a variety of agents, even by treating the semen of toads with X-rays, but the No. 1.] ORIGIN OF HUMAN MONSTERS. 13 variety of monster can never be predicted, and if there are a number of them they are usually of mixed types.” What I have to say in this publication of monsters applies only merosomatous terata which are not of an hereditary nature and are no doubt produced by agents which interfere with the nutrition of the embryo. Having taken only those monsters from which the germinal factor is excluded, it makes it necessary once more to consider some minor me- chanical agents as their cause, which may be termed a modified mechanical theory. The advocates of the mechanical theory gradually lost ground, for they had to combat the germinal theory on the one hand, and on the other they were compelled to state that me- chanical influences, generally those due to lacing, caused the foetus to become monstrous by the pressure that was exerted upon it. The theory was then modified to include primarily intra-abdominal influences like tumors, malformations of the pelvis and uterus, as well as those within the ovum itself. Gradually we see less and less weight placed upon any of these specific causes, and finally the modern advocates of the theory believe that amniotic bands and adhesions are the main influ- ences in the production of monstrosities. It is needless to state that each advocate had his own combination of circum- stances, and when all of them are taken together, with modi- fications and exceptions, it is practically impossible to make general statements. Suffice to say that the objections to each form of the theory appear to be sufficient to explode the whole theory, and to the bulk of physicians maternal influ- ences seem to be as rational a cause in the production of monsters as mechanical influences, for the data of experience are about as good in the former as in the latter. There are some rare cases of spontaneous amputation of the extremities which are said to be due to pressure of the umbilical cord. However, these cases can be separated into two marked groups, one in which there is an actual amputa- *Bardeen, Jour. of Experimental Zool., 1907. 14 MALL. [Vor. XIX. tion and the other in which there is an atrophic or rudi- mentary hand or foot attached. In the latter instance it seems to me that it is very irrational to hold the umbilical cord responsible for the amputation. Furthermore, the cause is possibly germinal, as may be the case in sympodia, syndactyly and ectrodactyly. The rare cases in which there is actual amputation of the extremity are more likely to have been produced by mechanical injuries during labor than by having the amputated limb caught in a loop of the umbilical cord. In fact, we must admit that we are unable to explain by any satisfactory hypothesis either congenital amputations or dis- locations. It has been noticed occasionally in merosomatous monsters that the diseased or malformed part is tied by means of bands of tissue either to the amnion or to adjacent parts of the body of the fcetus. These observations, relatively few in number, have led to the theory that the bands caused the deformity. It seems to me that, in view of the idea that many monsters are due simply to an arrest of development of some part of the embryo, that hydramnios is usually pres- ent, and that all kinds of monstrosities may be produced in lower animals (including amphibia which have no amnion), it is highly probable that amniotic bands and the like are secondary in their formation and have nothing whatever to do with the production of monsters. The more the embryo- logical theory is tested by experimental methods the more all simple mechanical explanations suffer, and it seems to me that all of them will have to be abandoned. It 1s not especially remarkable to find that when the head or face is malformed the diseased part occasionally forms a sec- ondary attachment with the amnion; or that, as in exomphalos, where the umbilical cord is “dilated,” the extruded viscera come in direct contact with the placenta, as they should, and the blood-vessels are scattered and run along the amnion to the placenta, as should also be the case when the subject is viewed from the standpoint of embryology. Furthermore, de- formities of the extremities are of frequent occurrence, but No! Ee] s ORIGIN OF HUMAN MONSTERS. 15 amniotic bands are rarely found, and when they are present they are often attached to the body of the embryo and not to the deformed extremity. It seems to me, therefore, that as facts accumulate it becomes clearer and clearer that the occa- sional amniotic adhesions found are due to the presence of the monster and are not causal in nature.® Possibly I have devoted too much space to the discussion of mechanical theories in teratogenesis. What has been said is no doubt acceptable to all embryologists, and my apology is due to the fact that the influence of maternal impressions upon the offspring is still believed in by so large a number of American medical writers of note and that mechanical notions regarding embryology are entertained by physicians in general. The great embryologists from Harvey onward explained the conditions found in monsters as due to an arrest of development, for they saw in these distorted individuals con- ditions which are normally found in the embryo. The embryological theory was first well formulated by J. F. Meckel, who explained the beast-like appearance of some monsters by the fact that in his development man passes suc- cessively through stages found in lower animals. To those who have accepted the doctrine of evolution this is all clear, but it remains to be shown what are the factors in develop- ment, and the effect of changes in the embryo upon the growth of the foetus. As has been pointed out above, we must divide monsters into two groups, those in which the proper conditions to produce them are already in the germ (are therefore inherited), and those due to certain external influences which act upon the egg after it is fertilized. It is obvious that only the second group can be considered in any experiments made upon the embryo. So, if the pathological ova I have studied *Ballantyne says: “The reader may feel (and he is justified in so feeling) that, after all, experimental teratogeny has not done much for the understanding of the mode of origin of monstrosities, if it has weakened a belief in the influence of the amnion.” I may add that this argument can be applied to maternal impressions as a cause equally as well. 16 MALL. [Vou XIX. are all due to a diseased chorion, which in turn is dependent upon endometritis, then we should find embryos tending to- wards club-foot, anencephaly, iniencephaly, spina bifida and cyclopia, which in fact proves to be the case. However, a large group of new monsters, known only to embryologists, make their appearance and from the very nature of the abnor- mality found but few of them could develop beyond the first months of pregnancy. In their study comparisons have been constantly made with normal embryos of the same size, and in this way, to a certain degree, it is possible to picture the order of events. It is found that in these specimens some tissues are more susceptible than others, and when the nutri- tion of the ovum is impaired it is these that are affected first. In very early stages the amnion and embryo are equally susceptible and the umbilical vesicle and chorion are the most resistant. Later it is the embryo alone, and still later the head, central nervous system and extremities. It fol- lows then that the parts most susceptible are those most frequently found changed, or wanting, in merosomatous non- germinal monsters. In general the varieties found in my col- lection of young embryos correspond with those obtained experimentally by others in birds and appear much like the most common human monsters. The Saint-Hilaires, who contributed so very much to our knowledge of teratology, were the first to study the subject experimentally. By a variety of experiments made upon the shell of the egg (e. g., pricking and varnishing) the older Saint-Hilaire produced a large number of anomalies in which there were defective heads and spina bifida. Huis experiments were made upon eggs after development was well under way, and his results were pronounced enough to allow of com- parison with human monsters. The younger Saint-Hilaire extended the experiments to include the earliest days of incubation, and found that the embryos which developed were dwarfed or were wanting altogether. In no instance were polysomatous monsters produced. At any rate, the experi- ments of the Saint-Hilaires show that a change in the external No. 1.] ORIGIN OF HUMAN MONSTERS. 17 physical conditions may influence and modify normal develop- ment and thereby produce a variety of merosomatous terata. During the following seventy-five years a great amount of experimental work was done upon chicks by numerous inves- tigators, which showed that the varieties of monsters pro- duced were quite constant, no matter what agent is used, but no single variety could be produced with certainty. It was found impossible to experiment with precision, for a certain per cent of eggs would produce one or more varieties of deformed embryos. EXPERIMENTAL. RECENT WorK UPON THE PRODUCTION OF POLYSOMATOUS MONSTERS. The various theories regarding teratogenesis which had troubled mankind for so many centuries were finally exploded by naturalists, whose speculations gradually led them to ex- periment upon this subject. Anatomists and zoologists had deduced that the primary change lay in the egg about the time of fertilization, and we read in J. Miller,t Valentin? and Leuckart® that a double monster is due to division of the embryo-forming substance in the earliest stage of develop- ment. The experiments subsequently made by Gerlach,* Panum® and Dareste® upon chicks were negative in this respect, but the tradition has come down to us that polyso- matous monsters are produced by a process of splitting of the primitive streak. The more recent anatomists—Fol, Rauber, *Miiller, Meckel’s Archiv, 1828. *Valentin, Handworterbuch d. Physiologie, I, 1842. *Leuckart, De Monstris, Gottingen, 1845. “Gerlach, Doppelmissbildungen, 1882. *Panum, Entstehung der Missbildungen, 1860. °Dareste, Recherches sur la production de monstrosités, Paris, 1891. 18 MALL. [VoL. XIX. Born and O. Hertwig—who observed the developing egg and experimented upon it, were at first inclined to the theory that the first cause in the production of monsters is due to poly- spermy, but this has not been substantiated. The first reliable and valuable observations upon the pro- duction of double monsters were made by Vejdovsky,’ who noticed that the eggs of Lumbricus produce more monsters in warm than in cool weather, and he expressed the suspicion that they were produced by the change in temperature. Driesch® seized upon this idea, experimented upon sea-urchins’ eggs, and found by subjecting them to high temperatures that the cells, in the two-cell stage, separated, each growing into an individual, but, however, remaining connected with each other. Driesch had already shown that when the blastomeres of these eggs are fully separated by shaking, each grows into a whole embryo, and it was now clear to him that double monsters are produced by separating the blastomeres slightly, but still keeping them close enough together so that the inde- pendent embryos grow into each other’s bodies to form a double individual. By a very different method double monsters were also pro- duced by Loeb.® He subjected sea-urchin eggs to an equal mixture of sea-water and distilled water shortly after they had been fertilized. The rapid absorption of water caused many of the cell membranes to burst, and part of their proto- plasm escaped, which, however, remained connected with that inside of the membrane. All this took place before the nucleus had divided. Upon returning the eggs to normal sea-water cleavage began, and one of the first two nuclei wandered into the extruded protoplasm. Each nucleus with its protoplasm then became an embryo, and in case the embryo within the egg was not separated from the extra-ovate embryo by its active movements in the blastula and gastrula stage a double monster *Vejdovsky, Entwicklsg. Untersuchungen, Prag, 1890. *Driesch, Zeit. f. wiss Zool., LV, 1892. "Loeb, Biological Lectures at Woods Holl, 1893; Pfliiger’s Archiv, LV, 1894; Roux’s Archiv, I, 1895; and Studies in General Physiology, Chapter X, Chicago, 1905. No. 1.] ORIGIN OF HUMAN MONSTERS. 19 or “Siamese” twins were formed. Frequently they became separated and independent animals developed. It often hap- pened that the outflow of protoplasm was multiple, and then the three, or even more, protoplasmic drops which were formed developed respectively into triple or quadruple monsters. These important discoveries were soon extended to the vertebrates by E. B. Wilson,’® who experimented upon the eggs of Amphioxus, and by O. Schultze,*? who experimented upon those of the frog. Wilson partly separated the blasto- meres of Amphionus in the two-celled stage and produced a variety of double monsters which developed until the first gill-slits were formed. In the gastrula stage almost every possible transition occurred between forms slightly expanded laterally to those in which the two bodies were joined only by a slender bridge of tissue. Incomplete separation of the blas- tomeres in the four-celled stage gave rise sometimes to double embryos of equal size, triple embryos, one being as large as the other two, or rarely to quadruple monsters. Wilson’s studies prove, he believes, “that the unity of the normal embryo is not caused by a mere juxtaposition of the cells, but they indicate that this unity is not mechanical but physiolog- ical, and point toward the conclusion that there must be a structural continuity from cell to cell that is a medium of co- ordination, and that is broken by the mechanical displacement of the blastomeres.” Oskar Schultze produced monsters in frogs by fixing the eggs between two glass plates, and after they had developed to the morula stage the plates were inverted. A number of the eggs righted themselves, but others grew into double embryos. Wetzel'* extended the observations of Schultze and showed that there was a flow of protoplasm in each of the blastomeres into their upper hemispheres, which may *Wilson, Jour. of Morph., 1893. %O. Schultze, Verhandl. d. anat. Gesellsch., 1894, and Roux’s Archiv, I, 1895. *Wetzel, Arch. f. mik. Anat., XLVI, 1895. 2 20 MALL. [VoL. XIX. account for the separation of the primary cells, thus laying the foundation for two embryos instead of one. Spemann'® has also produced polysomatous monsters from the frog’s egg by tying a ligature loosely around it in the two- cell stage between the two blastomeres. Specimens in which the ligature struck the median plane of the embryo produced two-headed monsters of all grades, their development de- pending somewhat upon the degree of the mechanical con- striction. He performed similar experiments upon Triton eggs, and in some instances found cyclopia in one or both of the heads. By broadening the anlage of the tail through splitting, a double tail may be formed, or in case limb-buds are divided one or more times two or even a cluster of limbs may be produced where but one develops normally.“ The experiments enumerated above, although not quite to the point in the present study, are reviewed because they show that teratogenetic problems are solved by experimental em- bryology and because they are very striking. If it is clear that polysomatous monsters are produced experimentally with such precision, the great variety of merosomatous terata of the experimenter must be admitted worthy of careful study. It is necessary to state this because only a small per cent of them live for some length of time, but they show a great sim- ilarity with early stages of human terata with which we are familiar. A glance at the great works of Dareste and Panum makes it clear that the deformed embryos they obtained are not easily interpreted and they could easily be pushed aside as not bearing upon the subject in question. The same criticism may be made against early pathological human embryos. That it is difficult to see any marked relation between them and monsters at the end of pregnancy caused me much confusion for a long time, but after studying a large number of deformed embryos I am finally convinced that the pathological embryos are nothing but young monsters. This conclusion is sup- *Spemann, Stizungsber. d. phys.-med. Gesellsch., Wurzburg, 1900; Zool. Jahrbuch, VII Supplementband, 1904. “Tornier, Roux’s Archiv, XX, 1905. No. 1.] ORIGIN OF HUMAN MONSTERS. 21 ported especially by the numerous investigations in experi- mental embryology, many of which are also at the same time investigations in experimental teratology. For this reason I shall consider briefly the recent work upon the production of merosomatous monsters. Liruium Emsryos anp NopuLar Forms IN CHICKS AND IN MAN. Comparative teratology gives ample testimony to explain the production of double monsters, and it is now clear how they may be produced in man. But when the study is ex- tended to merosomatous terata great difficulties arise in making comparisons between the large number of experimental mon- sters in lower animals, the pathological embryos which I have studied, and finished monsters at the end of pregnancy. The endless literature upon these subjects is very difficult to blend into a continuous story on account of the various terminol- ogies used by the different writers. However, I hope to draw some satisfactory lines through it, being guided by compara- tive anatomy and embryology. © The immense number of experiments performed upon the eggs of different species of animals has given the greatest variety of monsters of very irregular form, and extremely difficult to interpret properly in the light of our present knowl- edge of embryology. Quite recently our distinguished tera- tologist, Morgan, has presented this problem in a new light in his series of studies on the relation between normal and abnormal development of the embryo of the frog. No doubt scientific investigations like these of Morgan will soon clear up many of the questions in teratology which have perplexed us so long. It may be noted that new kinds of monsters are constantly being produced by the experimental teratologist, one of the most interesting being that known as the lithium larva. *Morgan, Ten Studies in Roux’s Archiv, Vols. XV-XIX, 1902-1905. to to MALL. [Vot. XIX. In 1893, Herbst,” while studying sea-urchins’ eggs, observed that the action of lithium salts upon them caused the layers of the blastoderm to invert in development. The lithium ex- periments were repeated by others, including Morgan, upon frogs’ eggs, who found that the upper protoplasmic contents of the egg fails to move downward, which is followed by a complete inversion of the germ layers. The entire upper part of the egg sinks into its interior and forms a medullary plate which is bent back upon itself. This change in development is due to the physical and chemical action of lithium salts, for it cannot be brought about by any other means. Very recently Stockard* experimented upon Fundulus with solutions of lithium chloride and produced monsters which developed into quite decent fishes, but at present it is impos- sible to compare them with lithium larve of sea-urchins and frogs. In these embryos the blastoderm is usually prevented from growing downward over the yolk, as is also the case in the frog, and therefore bulges as a cap upon the upper part of the egg. In stronger solutions of lithium this cap often constricts at its borders and finally pinches itself off from the yolk and dies. In embryos which survive, the heart beats slowly, the eyes often fail to develop, the blood is colorless and therefore appears to lack hemoglobin. These characteristics, taken with the inability to recover from the lithium effect, seem to prove that they are due to chemical causes. At present it is difficult to compare the great variety of monsters produced in anamniotic with those obtained in amniotic animals, for the number of the latter is relatively ‘small and their description meager. We have a series of excellent papers on the production of monsters in the hen’s ‘egg by Panum,* Dareste> and Féré.6 These authors, how- ever, devoted their main discussion to the teratogenic agents, *Herbst, Mitth. Zool. Sta., Neapel, 1893, and Roux’s Archiv, 1806. » Jour. Ex. Zool., Baltimore, 1906. ‘Panum, Entstehung d. Missbildungen, Berlin, 1880. *Dareste, Recherches sur la production de monstrosités, Paris, 1891. *Féré, Cinquantenaire de la Société de Biologie, Paris, 1899. No. 1.] ORIGIN OF HUMAN MONSTERS. 23 of which they used a great variety. In general, they employed variations in temperature during incubation and, although they produced many kinds of monsters, they never could predict which kind they were to obtain from a given batch of eggs. It is, therefore, very apparent why experimental tera- tologists did not make much headway as long as they experi- mented upon the chick. However, they did establish two facts: first, that monsters are produced from the hen’s egg by all kinds of external influences, as varnishing the shell, placing the egg in the vertical position, change of temperature, trau- matic means, shaking, magnetic and electrical influences, by gases which penetrate the shell and by a great variety of chemical poisons and toxines injected into the white of the egg. In general, any substance which either interferes with the nutrition of the egg or poisons it, causes the embryo to become abnormal, but a special kind of monster is never produced by a given teratogenic agent. In this respect the experiments upon anamniotic eggs are far more satisfactory. Panum classified the monsters he produced into two great groups: (1) Those in which the whole embryo is involved, (2) those in which but part of it is abnormal. Under the first group there are (a) flattened forms, that is, the germinal area is not much changed in shape; (0) flattened forms with the production of red blood, i. ¢., only the embryo is affected ; (c) cylindrical forms, the embryo becomes abnormal in a more advanced stage; and (d) amorphous forms. This first group, with its four subdivisions, may possibly be compared with the great variety of irregular monsters of which the lithium larva may be considered the type. At any rate, we may say that there is an analogy. Certainly there is a similarity between the cylindrical forms, which do not live long, and the de- formed fishes obtained from Fundulus by means of lithium - chloride solutions. The great change which has taken place in both varieties makes it impossible for either of them to exist for a longer time. A similar form of monster is also often found in mammals, and His, in adopting Panum’s ter- minology, has classed it with cylindrical monsters. The 24 MALL. [VoL. XIX. pathological changes ii them are so radical that their lives are also short. Amorphous forms are analogous with lithium larve and identical with the nodular form in man. In gen- eral, only part of the embryo continues to develop in an irregular fashion and finally the whole embryo dies. The flattened forms, with and without blood-vessels, are identical in man with the vesicular forms, that is, ova containing umbilical vesicles only, and to ova without embryos, respec- tively. The merosomatous monsters in which the whole embryo is affected, total monsters as they are also called, are not likely to live long, but they are of great interest to those studying teratological problems. While they are being formed a certain number of eggs develop into partial monsters, and in man some of them grow into foetuses which may go on to full term, and a very small number of them live on to maturity after birth. The recent total monsters produced by Bardeen’ in sub- jecting the sperm of toads to X-rays before fertilization can be explained on the same ground as are lithium embryos. The tadpoles which develop from such eggs are entirely diseased, continue to grow in an irregular manner and appear much like lithium larve in Fundulus or as ordinary pathological embryos in man. In all three cases the primary radical change involves the whole embryo; in Bardeen’s experiment the cause af- fected the sperm before fertilization, in Fundulus shortly after fertilization, and in human pathological embryos some- what later. Although the methods employed are very differ- ent, the principle involved and the results obtained are much the same. A very large number of monsters are to be classed as total monsters. They are probably brought into existence by a variety of circumstances, all of which interfere with the nutrition and growth of the whole embryo and the changes in them are so radical that their lives are very short. In man "Bardeen, Jour. Ex. Zool., IV, 1907. No. 1.] ORIGIN OF HUMAN MONSTERS. 25 the primary trouble cannot be due to the presence of poisons in the blood of the mother, to correspond with chemicals used by teratologists in producing lithium larvz, for instance, nor to a fever, to correspond with the changes in temperature used to produce chick monsters. The process in man is quite different, being due probably to faulty implantation of the ovum, which naturally affects the growth of the embryo. This will be discussed under a subsequent heading. EXPERIMENTS WITH SALTS OF POTASSIUM AND CHANGES OF THE EMBRYO ESPECIALLY MARKED IN THE HEART. In case interference in the nutrition of the embryo is not too great the growth of part of the embryo, instead of all of it, may be retarded, with an additional destruction of tissue, thus pro- ducing the partial monsters in man, which frequently develop to full term. However, there is every kind of gradation between total and partial monsters, the former often showing many indications of the latter and the latter are frequently multiple. A total monster may have spina bifida, hare-lip, anencephaly, club-foot, cyclopia, etc., and a partial monster may include several of these types.. The primary affection which is to produce a pure spina bifida in man must be slight, must come at the right time, and subsequently the faulty implantation must be remedied so that the embryo may continue to ‘grow. In order to make my standpoint clear I shall first give some data regarding the frequency of some types of monsters as well as some experiments which show that the heart is extremely susceptible, its growth being easily retarded and often arrested after the embryo is well formed. Von Winckel has given us some data regarding 87 mon- sters obtained from 12,378 births in Dresden, that is, there *Von Winckel, Ueber die mensch]. Missbildungen, Samml. klin. Vortrage, Leipzig, 1904. 26 MALL. [Vou. XIX. was one monster in every 142 children born. He also states that there were 105 monsters in 20,000 births in Munich, or I to 190. The most marked deformity in each of the 87 Dresden cases number as follows: Deformities of the head ee ieee. cee eee 23 Deformities: of ‘the: face. ee 6 ee ee 12 Detormities Of the necks eee ee eee 4 Deformities: of the abdomens ect eee 7 Deformities ofthe Dacken a= eee eee a Deformities ‘or te upper extremity seen 9 Deforimities:of the Wower extremity o- eer. e- 17 Deformitiesxerthesskiner sores cit. ae ees iti Deformittessor orueimoncansher, tae ee ee I I have compiled a similar table from Panum,? who gives data obtained from Otto and from Meckel. It is as follows: Total number Number of of monsters. cases. AMmencephalis ce stakes ene 618 119 Anencephalus (according to Bal- lantyne 2h oe alee Sats 325 46 Py drocepialis.s heen te on; cemstes uses 618 26 EHydrocephaloedle: vs nie 2 tee 618 93 THarelip, ave eat aaa 618 7G. Cyclopia 2h.c vont he et eae eee 618 16 Eyes siissitieng.. hein aren eek eee an 618 9 Deformed aipper jaw eai-ne seis 618 3 Deformedtextrenities sie antennae 618 II5 Spinanbihida dicate sated ean ewre 404 38 In my collections of 163 pathological embryos there are 48 which show deformities which can easily be recognized as similar or as being forerunners to foetal monsters. In 27 of the embryos this deformity is limited to a single part of the embryo, as indicated in the table, but in 21 of them two or *Panum, J. c. No. 1.] ORIGIN OF HUMAN MONSTERS. 27 more malformations are present. They are as follows. Total number of cases, 48.° Atrophic: Head vacate a ee eye Att ok ee het 24 Malktorntied: facesandcmecks eye, wet si ta aes 17 Bisplaced* eyes st. oes emer bye ace a otto 3 Detormed extremities: \ nia ta eae 18 AS [DOA CT (G Dar Aa Oe PPE ER piper oR 12 EPROP all yore og 6 Bla sea ay, eran ete pate 5 In a general way the deformities in these 48 malformed embryos correspond pretty well in per cent with the type of monsters as recorded by Von Winckel and Panum. As shown in the table on page 43, seven pregnancies out of every “In order to make it possible to look up the histories of the embryos given in this table I add the numbers of the specimens which are included under each heading: Atrophic Face and Eye. Extremities. Spina bifida. Exomphaly. Head. Neck. 12 110 135 81 6 II5 60 122 201 04 12 162 69 124 285 122 54 166 81 132 124 94 244 104 201 132 135 364 132 212 135 182 135 226 142 189 137 232 177 226 177 246 200 251 182 251 230 203 189 276 232 364 200 207 251 365 201 330 316 207 343 325 212 357 343 226 364. 344 276 365 357 295 366 309 335 341 343 364 365 28 MALL. [VoL. XIX. 100 give pathological ova of which but one-third give well formed embryo monsters, or two per cent of all pregnancies. The number of monsters which go on to full term is about .6 per cent, and it is just this group which has escaped me. The embryo and foetal monsters form, therefore, 2.6 per cent of all pregnancies, or, in other words, three well-formed monsters are aborted in the early months of pregnancy for every one which goes on to the end of pregnancy. It is clear that those cases in which the embryo is markedly deformed or is absent altogether, as is the case in about 100 of my specimens, cannot possibly develop for any great length of time, for without either heart or form they cannot exist. However, the second group of forty-eight embryo monsters show within themselves such radical changes that they also could not have existed much longer. In nearly all of them the heart is markedly changed, is atrophic or is wanting altogether. There are also many other changes, especially in the central nervous system, which makes it probable that they have lived as long as they could and were then finally aborted. In general, I think that the form of the monsters and their clas- sification show clearly that they are practically identical with those that grow into foetuses and then to full term, differ- ing only in the degree of their changes. These are so radical in the embryo monsters that their lives are destroyed. Teratologists have long ago observed that the heart must be affected more or less in monsters on account of the fre- quent oedematous condition of the tissues and of the excessive accumulation of fluids in the serous cavities and in the amnion. In fact, a large per cent of monsters have hydro- cephalus and hydramnios. These conditions are seen in many of my specimens and have been observed by experi- mental teratologists like Panum and Dareste. However, we now have some good experiments which throw some light upon this subject. In 1893 Loeb* made the brilliant discovery that the heart beat could be arrested in Fundulus by placing the eggs in a “Loeb, Pfliiger’s Archiv, LIV, 1893. ’ No. 1.] ORIGIN OF HUMAN MONSTERS. 29 I.5 per cent aqueous solution of potassium chloride shortly after fertilization. He found that the eggs develop in a pretty normal fashion with the exception that though the heart de- velops it does not beat at all. The blood-vessels develop prop- erly as regards their course and division, but their lumina are irregular, like a chain of beads, which Loeb believes to be due to a lack of normal blood-pressure. Similar pictures may be seen in pathological human embryos, that is, only part of the vascular system is present, or the heart is atrophic but some of the blood-vessels are present, or the whole vascular system of the body is absent, with remnants of vessels in the yolk sac and in the chorion. In the last instance the vessels of the body may have been present at one time, for they should not have reached the chorion without passing first through the body. The embryos in Loeb’s experiments rarely hatched, and all of them died before the sixteenth day, due to heart poisoning. Loeb thought that all of the organs— brain, eye, ear and myotomes—developed without any marked anomalies, but I do not think that his experiments were ex- tensive enough to test this point thoroughly. However, he states that the pigmentation of the yolk sac was affected decidedly by the absence of the circulation. Under normal conditions the pigment, which is at first evenly scattered over the yolk, wanders to the blood-vessels as soon as the circu- lation begins and stays there, forming pictures which corre- spond with the branching vessels. In potassium embryos where the blood does not circulate the pigment cells are not attracted to the blood-vessels, but remain scattered evenly over the yolk. By extirpating the heart anlage from very young frog em- bryos Knower® obtained a similar arrest in the development, but his experiments show that absence of the heart or early defects in its action produces marked abnormalities in the de- velopment of the embryos. While the earlier stages of the development of these frog embryos is normal, the later changes ®Knower, Anatomical Record, Amer. Jour. Anat., VII, 1907. 30 MALL. [Vor. XIX. are arrested and strikingly abnormal. These embryos grow in an irregular fashion, become cedematous and the lymph vessels, blood-vessels and serous cavities are distended. Especially is the pronephros thus affected and the glomerulus distorted. The vascular system is much distended and very irregular, the chief vessels being laid down, though incomplete. The aorta and pronephric sinuses open into a mesenteric sac. The capil- lary system is imperfect or absent, blood corpuscles are rela- tively few and apt to be collected in the enlarged sinuses. Re- markable also is the role the lymph hearts play in such speci- mens. They continue to beat and pump the lymph containing some blood into the veins, and from their periphery it must pass again into the tissues. In connection with arrest in the de- velopment of organs the coiling of the intestines is limited to a single loop, the pancreas and liver are not normal, the sub- divisions of the brain do not acquire their specific size and shape, the eyes are much aborted and the musculature is vacu- olated. Knower obtained similar results from frog embryos developed in acetone chloroform, which inhibits the heart action from its earliest stages. The recent experiment of Bardeen, in which he produced toad monsters by subjecting the sperm to the influence cf X-rays before fertilization, may also bear upon the question of the importance of the heart in early development. “The eggs develop at first apparently normally or even better than the control, but beyond the gastrula stage the development begins to become retarded, and at the time of hatching, as the tail begins to grow out, marked deformities begin to appear in the larve.” The change takes place at the time the heart begins to function, for the vascular system was barely developed in any of the embryos experimented upon. The heart is rudimentary and may have no continuous lumen. The chief arteries and veins are incompletely developed. There are but few blood corpuscles in any of the embryos, and Bardeen® states that it is uncertain whether the blood had “Bardeen, Jour. Ex, Zool., Baltimore, 1907. No. 1.] ORIGIN OF HUMAN MONSTERS. 31 circulated at all in any of the embryos. In all of them the spaces in the tissues indicate that there is a marked oedema. The mesenchyme is increased in amount, the cells being spread apart by the fluids between them. Unfortunately for my purpose, Bardeen has not examined early stages of his mon- sters, nor has Loeb examined with sufficient care the later stages. If we keep Knower’s experiments in mind, we may think for the present that the changes in circulation in Bar- deen’s experiments are primary, and the other changes, like irregular development of the nervous system, dropsy and hydrocephalus, are secondary, that is, due to the absence of the circulation. At any rate, Bardeen’s description of his “X-ray toads” corresponds in many respects with those I have given of pathological human embryos in earlier publica- tions and in Part III of this publication. It is also clear that the necrotic changes in the central nervous system of these larvz, as well as those in pathological human embryos, can be due to deficient nutrition, but in order to produce a finished monster the nutrition must not be im- paired too much. The heart may be poisoned sotnewhat, which in turn may affect the central nervous system, causing | histolysis and dissociation there, and the general development may be retarded and the embryo deformed, but as soon as the heart ceases to function all growth ceases and the embryos gradually disintegrate, as has been the case in about 100 speci- mens out of my 169. In very rare instances human embryos continue to develop to the end of pregnancy without a heart. Such a specimen must be one embryo of duplicate twins, with a common umbilical cord through which it may receive nourishment from its healthy brother. Quite early in development its circulation must be reversed in the descending aorta, for as soon as its heart stops blood enters the body through the umbilical arteries, which passes in a reversed direction up the descending aorta. Under these conditions all kinds of curious monsters develop, ranging from a single head with- out a body to a kind of teratoma known sometimes as a 32 MALL. [Vor. XIX. placental parasite. Of course, a “rescue” like this is out of the question in nearly all cases, and the life of the embryo is of short duration after its heart has ceased to beat. Specimens similar to Bardeen’s and mine have often been found in chicks by Dareste and by Panum. Panum describes quite extensively the changes which take place in chick mon- sters. He recognizes in his classification that flattened mon- sters are of two kinds: (1) Anzmic ones, in which no blood is found, and (2) those in which red blood had been found but most of the vessels are retained in the area vasculosa. In these probably the vascular anlage was destroyed very early or it began in the area vasculosa and did not develop into the embryo. The result is similar to that obtained by Bar- deen, Knower and myself. It is clear, I hope, that certain parts of the embryo are more susceptible to insults than others, and this must be admitted in order to explain why potassium stops the heart, lithium affects in a peculiar way the movement of the protoplasm in the blastomeres, and sodium produces spina bifida by arresting the movements which close the spinal canal. In order to analyze the situation we must concern ourselves mostly with simple reactions in their early stages, for they are not under way long before they become very complex and beyond our reach. Mesenchyme is less susceptible than nerve tissue, and the brain is more susceptible than the spinal cord; and so on. A susceptible tissue when affected undergoes certain morphological changes well recognized by Panum. Panum pictured to himself a kind of inflammation of the tissues, parenchymatous, due to disturbances in the nutrition of the part, but it is by no means clear that anything like inflamma- tion in the healing of wounds takes place in embryos or in the various tissues after they have become partly necrotic. Often it is noticed that cells accumulate in portions of the embryo, and His thought that they wandered out from the blood-vessels. In my former publications I spoke of these cells as the wandering cells of His. Hertwig and Bardeen speak of necrosis, and there is every evidence that destructive No. 1.] ORIGIN OF HUMAN MONSTERS. 33 and not constructive processes are present in parts of the embryo which are becoming deformed. As this question is being investigated more and more it is clear that we must build up a pathology of our own based upon observations upon normal healing of wounds,’ etc., in embryos, just as Morgan was compelled to study anew the development of the frog in order to interpret properly the various malformed eges he had under consideration. I am quite certain that in the human embryo the cells may spread from the blood-vessels into the surrounding tissues after the heart has stopped, and I am also certain that mesen- chyme cells may separate and segregate, and that the cells of the central nervous system may become necrotic in part, dis- solve their connections and gradually fill the central canal. It matters little what we call this process, it probably includes a series of processes, but for the present I shall apply to it the term dissociation. In doing this I do not commit myself as to the origin of a group of cells. In order to describe my human embryos properly I must also use the term macera- tion, and by it I mean that the process has taken place after the death of the part. When cells dissociate they are still alive, but they are on the way to meet their fate. As the tissues continue to grow their sharp, borders are broken and they gradually become hopelessly confused. For the present the terms dissociation and maceration will do; in a short time it will be necessary to displace them, for experimental teratology will continue to be a fruitful field of research. Sopium Monsters—SPpiInA BIFIDA AND ANENCEPHALY. Probably the most satisfactory chapter at present in experi- mental teratology is the subject of spina bifida. Under this heading, of course, is meant that kind of spina bifida which is due to a lack of closure of the neural canal and not the kind that may be produced in older embryos after the cord is "See, for instance, Eycleshymer, Amer. Jour. Anat., VII, 1907. 34 MALL. [Vor. XIX. formed perfectly and the vertebral canal remains open. How- ever, it is easy to conceive of the second kind as a variety of the first, for in it the development went on normally, but the vertebral arches did not meet in the dorsal mid-line to pro- duce the vertebral canal. In 1892 O. Hertwig! published his remarkable article on open blastopore in frogs’ eggs and its relation to spina bifida. Hertwig was experimenting upon eggs to produce poly- spermy, after they had been kept for some time after matura- tion and found that many of these eggs developed abnormally, due to polyspermy, he believed. A part of the eggs segmented irregularly and developed in a peculiarly pathological fashion, that is the blastopore remained open much longer than it should. The further study of these specimens showed that they grew into embryo monsters with all kinds of deformity of the spinal canal, often producing quite typical specimens of spina bifida. Hertwig saw clearly the bearing of these experiments upon the general explanation of spina bifida and its relation to the blastopore. This he discusses at great length and with much ability. He was able to show the rela- tion of his work with that obtained by Lereboullet on the pike, by Oellacher on the salmon, and by Rauber on the trout. These investigations had shown that an open spinal canal or even a total fissure of the body may result when the germ ring does not unite properly to form the body of the embryo. It now became possible for the first time to follow spina bifida from its very earliest stages in amphibian and fish embryos up to a time when it is clear that the process is identical with that found in birds and mammals. ‘To be sure, in the latter cases we must take the specimens as they occa- sionally come to us, for it is impossible at present to experi- ment upon mammals successfully, and in chicks the ex- periments are not very satisfactory. This comparison was made by Hertwig with great acumen, using the excellent *Hertwig, Arch. f. mik. Anat., XX XIX, 1892. No. 1.] ORIGIN OF HUMAN MONSTERS. 35 article of Von Recklinghausen” upon spina bifida as a repre- sentative one for man. About the same time Morgan and Tsuda,* in working upon the orientation of the frogs’ eggs, subjected them to a great variety of solutions, and found that a .6 per cent solution of sodium chloride prevented closure of the blastopore. By them the nail was hit upon the head; the other investigators only obtained monsters occasionally (Hertwig incorrectly believed them to be due to polyspermy), but Morgan and Tsuda ob- tained them in great number. It was found that less than .6 per cent of salt did not affect the embryo and a stronger solution killed it. Successful specimens, and there were many of them, were examined from stage to stage in their develop- ment and the exact steps by which the blastopore is closed was followed. This gave them a decided advantage in study over the hap-hazard one in finding embryos already formed. The experiments were used mainly to study the orientation of the embryo in its relation to the lips of the blastopore. The crucial experiment of Morgan and Tsuda was imme- diately seized upon by Hertwig* and employed in his experi- ments on spina bifida. Spina bifida could now be studied experimentally. Hertwig also found that a .6 per cent solu- tion of common salt delayed the development of frogs’ eggs, the intestines, chorda, myotomes and nervous system develop- ing normally, but gastrulation was postponed for from twelve to twenty-four hours. As a result of this the spinal cord does not close posteriorly as rapidly as it should and perma- nent spina bifida follows. Often the walls of the spinal tube are thin and its lumen is small, showing that there is a general arrest of its development. In general, Hertwig did not continue the experiments beyond the sixth day, for the salt caused marked changes in the exposed spinal cord. It seemed to be less resistant, inas- *Von Recklinghausen, Virch, Arch., 105, 1886. ®Morgan and Tsuda, Quart. Jour. Micr. Sci., N. S. 35, 1894. Also, Morgan, Roux’s Archiv, pp. 266, 269 and 293, 1902, *Hertwig, Arch. f. mik. Anat., XLIV, 1905. 3 36 MALL. [Vov. XIX. much as it underwent histolysis and cytolysis. The epider- mis also showed changes; instead of being smooth on the outside it became rough, grew up into numerous papillomata, as Bardeen found in his X-ray larve, and as I have often found in pathological human embryos. Hertwig explained Morgan’s remarkable experimental production of spina bifida by assuming that the concentration of the salt retarded the growth of the cells of the egg and that the reduction of energy is unequal in different portions of the egg. Through this change differences in the rate of growth are established unlike those in the normal embryo, which naturally ended in the production of an abnormal embryo, that is, a monster. In this instance Morgan’s sodium larva is the typical embryonic stage of spina bifida. The spina bifida, although complete at first, rarely remains so, for the neural tube closes more or less, remaining open usually behind and often in front, giving quite typical speci- mens of anencephaly. It is clear, therefore, that this variety of spina bifida is also due to an arrest of development which could easily undergo secondary changes and produce a condition which is often found in foetuses at full term. Hertwig concludes, properly so, I think, that every human ovum has within it the power to develop into a monster, either anencephalic or otherwise, and that it is not due to any abnormal condition of the germ, but to external influences which affect the growth of the egg. A monster is due to the influence of external substances which retard the growth of the embryo, usually one portion more than the other. For a long time teratologists have practically stated the same in recognizing that monsters usually represent arrestments of normal development. Not only is this true regarding mero- somatous monsters, but every egg has within it the power to develop into a polysomatous monster, or into duplicate twins. Later Hertwig® extended Morgan’s experiments to Axolotl, thus making it applicable to at least six species of animals. "Hertwig, Gegenbaur’s Festschrift, II, 1896. No. 1.] ORIGIN OF HUMAN MONSTERS. 37 In this animal the monster lives much longer than the larve of frogs and toads do, and for this reason terata with spina bifida or anencephaly are obtained that resemble very much those found in man. It was found that a .5 per cent solution of NaCl produced no perceptible effect on Axolotl, that a .6 per cent solution made half of them grow into monsters, and in a .7 per cent solution all of them had spina bifida. In them it was found that the neural tube did not close regu- larly, and often several dorsal openings remained, some until the embryos were quite large. In frogs gastrulation was affected decidedly by the .6 per cent solution of salt; in Axolotl gastrulation remained normal in the .7 per cent solu- tion, the change being confined to the brain and cord, but did not extend to its caudal end. The exposed cord underwent a certain amount of histolysis and cytolysis with more or less scar formation, thus resembling very much the condition found in spina bifida in man. At the conclusion of Hertwig’s paper he rightly asks whether it is not possible for chemical substances in the blood, alcohol, toxines or doses of medicine, to pass from the uterus to the ovum in man and produce monsters. It is clear that he believes that monsters are not germinal and hereditary, but that they may be produced from every normal ovum through influences in its environment. Schaper® has shown us, by producing anencephaly in tad- poles by mechanical means, that the rest of the animal grows normally without the presence of a brain. In fact, only the spinal cord degenerates after the brain has been removed. The experiment of Schaper has been further extended by Harrison,’ who removed only the spinal cord, leaving the brain, before the spinal nerves are formed. In these experi- ments also the tadpole grows normally without a spinal cord or spinal nerves unless the operation interferes with the devel- opment of the lymph-heart, when dropsy follows. Harrison produced similar results in embryos in which the action of °Schaper, Jour. Bost. Soc. Med. Sci. 1898, and Roux’s Archiv, VI, 1808. "Harrison, Amer. Jour. Anat., III, 1904. 38 MALL. [Vov. XIX. the whole nervous system is thrown out by means of acetone- chloroform. The animals remain perfectly motionless and also develop dropsy, due probably to the effect of the acetone upon the heart of the animal. As I have mentioned above, . Knower has shown that simple enucleation of the heart anlage causes an embryo to grow without a heart, which always has more or less dropsy, especially of the pronephros, while those in which the nervous system only has been re- moved are not thus affected. Therefore, when the nervous system is paralyzed by the action of acetone, which also retards the action of the heart, we must conclude that the dropsy of the embryo is due to the deranged heart and not to the damaged nervous system. In their experiments, Panum and Dareste occasionally ob- tained spina bifida in chicks, not including those monsters in which the brain was deformed. Some time later Richter® found three cases of spina bifida among several hundred hens’ eggs upon which he experimented. Otherwise these chicks were quite normal and no amniotic bands were found. This last point was considered to be of great importance, but now, since monsters are produced in animals without an amnion, it would be well, it seems to me, to relegate the amniotic theory of the production of monsters into the class into which that of maternal impressions has fallen. In Richter’s cases, how- ever, the spina bifida was more or less associated with anen- cephaly, and there were also specimens of exencephaly as well as a few of spina bifida occulta. In other words, the condi- tions here were more complicated than those found in the frog. In my own specimens of human embryos there are at least twelve good ones of spina bifida. These are among 163 pathological ova, or about one case of spina bifida in every 200 pregnancies. Acording to Panum’s table, there were 38 specimens of spina bifida among 404 monsters, or again about Io per cent. If one monster results from every *Richter, Anat. Anz., III, 1888. No. 1.] ORIGIN OF HUMAN MONSTERS. 390 hundred pregnancies, as my tables indicate, we then have one foetus with spina bifida in 1,000 pregnancies, which is also Koch’s? proportion. In other words, five young embryos with spina bifida are aborted early, while one goes on to full term or may live after birth. The smallest embryo with spina bifida in my collection is 2.1 mm. long and in general appears normal. However, the brain is atrophic, is quite wide open and may be considered anencephalic. The cord below is also wide open, wider than in other embryos of this age which have been described. A similar but a little larger embryo has been described by Tor- neau and Martin (Fig 1, Plate I). Their embryo is 8 mm. long, apparently normal in form, with the spinal cord below wide open. Sections of the specimen showed that the spinal ganglia are present, lying on either side of the motor roots, which nearly encircled the chorda. There is also some histolysis of the cord. No. 189 is a case of complete spina bifida with marked histolysis and destruction of the superior end of the central nervous system. The other specimens given in the footnote on page 27 show a variety of forms of spina bifida of the cord, probably the most interesting being No. 293, in which there is histolysis of the membrana reunions behind. A specimen like this may represent an early stage of spina bifida occulta. Otherwise the remaining specimens show a considerable destruction of tissues, both mesodermal and nervous, which makes them cor- respond more with the cases found at birth. Here the nervous tissue is quite vascular, often forming peculiar tissues, such as Von Recklinghausen? has pictured. Recently Voigt?! has described a case of cervical spina bifida in an embryo 18 mm. long, which was aborted fifty- four days after the last menstrual period. A much more satis- factory account of several specimens is given by Fischel’? in °*Koch, Beitrage zur Lehre von Spina Bifida, Kassel, 1881. Von Recklinghausen, Virch. Archiv, 105. “Voigt, Anatom. Hefte, XXX, 1906. “Fischel, Ziegler’s Beitrage, XLI, 1907. 40 MALL. [Vor. XIX. his study of anomalies of the central nervous system in young human embryos. Fischel describes a case with multiple but irregular canal formation, which cannot possibly be viewed as a case of arrest of development. His other specimen is an embryo 10 mm. long, obtained from a woman who was perfectly healthy and aborted for unknown reasons. This embryo was apparently normal in every respect, with the exception of a well marked dilatation of the cord below just opposite the root of the leg. There was histolysis of the cord and the embryonic skin just over the hydromyelia, which Fischel believes indicates that spina bifida is preceded and caused by hydromyelia, that is, he accepts Morgagni’s theory. At any rate, the great variety of malformations of the spinal cord which are grouped under the name of spina bifida cannot all be likened directly to Hertwig’s spina bifida in amphibia, although in both there is considerable histolysis. Fischel’s specimen, which is a very important one, shows conclusively that there is a destruction of tissues in the formation of spina bifida much the same as I have noted in the description of some of my specimens. In other words, the embryo was normal before it developed spina bifida. The relations of hydromyelia to spina bifida, and of hydrocephalus to anen- cephaly, have been discussed so much since the time of Mor- gagni, and my cases, as well as Fischel’s, throw no new light upon the subject. Dropsy of the cavities and tissues of the body accompanies practically all pathological changes in the embryo, and it may be considered an effect just as well as a cause in these cases of spina bifida. Embryo No. 6 shows an interesting condition in the lower part of the spinal cord similar to the first case described by Fischel. There is a marked vesicle coming off the cord be- tween the motor roots of the two last spinal nerves, as may be seen in the illustrations. The lower end of the cord ex- tends somewhat beyond the -vesicle. The vertebral column ends just above the vesicle and is composed of two cartilages. Bardeen'* has shown that the double arrangement of the last *Bardeen, Amer. Jour. Anat., IV, 1905. No. 1.] ORIGIN OF HUMAN MONSTERS. 41 cartilage of the cord is of quite common occurrence among the normal embryos of my collection. I have looked through the normal embryos of about the same stage as No. 6, and in no instance have I found one with a vesicle like it attached. Among the specimens two occur with very small vesicles at the extreme tip of the cord, this being best marked in No. 22, an embryo 20 mm. long. Another embryo, 19 mm. long, No. 220, also shows this dilatation. It seems to me that in these cases there is only a slight exaggeration of the normal, while in No. 6 the vesicle is newly formed. While the per cent of cases of spina bifida among patholog- ical embryos and fcetal monsters is about 7 per cent of the total number of monsters in each case, it rises in anencephaly to about 20 per cent, that is, in 1,000 pregnancies there are 15 cases of anencephaly aborted very early and one case goes on to full term. Among the embryos with changes in the brain that indicate the beginning of anencephaly there are many varieties of deformed brains that are exposed more or less. The brain may be escaping from the front of the head, the mid-brain may be exposed, or the medulla is distended and fills the whole atrophic head, as the various figures show. In most of the specimens there is a marked histolysis of the surround- ing tissues as well as of those of the brain, with vascular metamorphosis of the brain tissue, as is shown in specimens like Nos. 364 and 365. In these cases we cannot speak of a simple arrest of development only, but also of a destruction of tissue, histolysis and necrosis, or parenchymatous inflamma- tion, as Panum would call it. These specimens are discussed sufficiently under various headings further on, and under the descriptions of the embryos in the last portion of this paper. It has been shown that typical spina bifida and anencephaly can be produced in a number of species of amphibia by Mor- gan’s experiment, that is, by cultivating the eggs in dilute solutions of NaCl. This causes an arrest of development of the embryo, which is decidedly more marked in the central nervous system than elsewhere. There is also a more or less 42 MALL. [Vor. XIX. marked histolysis of the cord and brain. Similar changes can be produced in birds, while in man the number of cases of spina bifida and anencephaly are at least ten times as numerous in the embryo as in the fcetus. In man, however, the pathological changes in the embryo are very marked and complicated by an arrest of the develop- ment of the heart or by its complete destruction. In my specimens no doubt the destruction of the heart must be held responsible for the general cedema and the marked histolysis of many of the tissues, including those of the brain. It may be that the faulty implantation of the ovum affects the heart first and that the changes in the nervous system are produced secondarily, but our data are too meager to allow us to draw any conclusion regarding the sequence of events. At any rate, there must be other factors at work which make the process more complicated than it would be if there were only a simple arrest of the development of the spinal cord. The other changes are in the region of the spinal cord and canal and aid in producing the various forms of spina bifida, including spina bifida occulta, which are found in the fcetus and at birth. In some instances, in which the individual lives after birth, the primary change must have been of a slight degree to begin with, and the faulty implantation of the ovum must have been corrected, or in case the ovum was poisoned, the disease must have been eliminated in order to allow the embryo to continue its development. However, very simple or uncomplicated cases must be very rare, for spina bifida is usually accom- panied with other malformations, as is the case with most monsters. No. 1.] ORIGIN OF HUMAN MONSTERS. 43 MonstTERs IN Wuicu Tissues Must Have BEEN DESTROYED —MacGnesium MONSTERS, CYCLOPIA AND CLuB-FOoT. It has been repeately noted by experimental teratologists that, whenever the malformation of an embryo is slight, there is a general retardation of development of the whole body which is more marked in some portions of the embryo than in others. Thus it is stated that the tail of an embryo is atrophic, or even club-shaped, a condition which cannot be brought about without some destruction or rearrangement of its tissues. In the human embryo there are all gradations of form between typical anencephaly, atrophic head and deformed head; in fact, pure types are rarely seen. These varieties can be brought together under the general heading of atrophic heads. The tissue change in them ranges from histolysis to dissociation or even to maceration. In a general way the following table gives the frequency of variations of path- ological embryos and of monsters per 100,000 pregnancies. The figures from which the table has been constructed will be found on pages 26, 27, 65 and 66, and may be considered to be fairly reliable: Peepasvcics! Births. Normal Embryos Pathological Monsters. and Foetuses. Embryos. 100,000 81,000 12,000 7,000 615 Bly CrOCepnaltiSe orcs Weise. at ses reuse “pr EO) BPO cidde de eae a. rcle cc Mit arn chee ss 953 Aas JENS OR S200 ae ie oe ae oe ng 574 119 “3 [Cand 10 ae a ee 410 47 ACEsCGIOEIMIEM: sc, 4. 6ilS.2 5,0 omen wie 697 96 Wetormed Cvesnne an tac ea sce 123 25 Metonmneds extrenuties! 22 °....0./.5 2. «'s 697 ELS The figures given under monsters are actual figures, those for hydrocephalus, etc., being from Panum, in which the total number is 618. This is practically equal to the 615 which I have obtained from various authors. My data, which are from 163 pathological ova, were multiplied by 41 to bring 44 MALL. [VoL. XIX. them up to the total estimated number of pathological ova per 100,000 pregnancies. “Deformed heads” I have paralleled with “hydrocephalus,” but I do not mean to infer that one is directly related to the other. Otherwise the subdivisions coincide. It is remarkable that in each instance there are about six of a given variety of embryonic monsters for each at full term. At any rate, the constancy of the ratios speaks volumes in favor of the genetic relation of monsters to path- ological embryos. In my collection there are five specimens of exomphalos (Nos. 115, 162, 166, 244 and 364), mostly in very young stages, in which there is an extreme degree of atrophy ot the embryo. It is a question whether any of these embryos in which the atrophy is so extreme could possibly have lived much longer, for in them the body of the embryo is nearly de- stroyed. In many of the specimens there is a marked distention of the central nervous system, and it would probably be more to the point if they had been classed with hydrocephalic monsters. The frequency with which hydrocephalus and dilatation of the embryonic nervous system are encountered makes it questionable whether anything is to be gained by the comparison. As Giacomini has pointed out, the amnion is sometimes partly destroyed or is wanting entirely. More often, how- ever, there is hydramnios, as is also the case with monsters. The excessive secretion of fluids into the cavities of the body and into the amnion is often accounted for by a supposed interference with the circulation, and this theory is supported by removing the heart in young tadpoles (Knower’s experi- ment), which is always followed by general dropsy. To come back to the deformed heads, in which there is not only an arrest of development, but also an actual destruction of many of the tissues, the head is more or less necrotic or stubby, often the brain is exposed, either in front or over the mid-brain, or the whole brain may be wanting. In some cases the lumen of the brain communicates directly with the No. 1.] ORIGIN OF HUMAN MONSTERS. 45 exterior of the body, the edges of the opening often being rounded, that is, there has been an attempt to repair the wound. In other instances the whole brain has been de- stroyed and the medulla is markedly dilated and fills the whole of the stumpy head. In such specimens the face is more or less deformed and may be adherent to the thorax below without an intervening neck. So, with destruction of tissue, there is a slow and continued growth, for if there were not the chin and thorax could not have united. There are all kinds of deformities of the face, from a simple atrophy, in which the external features are obliterated, to atrophic jaws, deformed or closed mouth, hare-lip, absence of the neck, or ears, which are not developed, are deformed, pointed or displaced. Such changes could not take place without a marked destruction of tissue and an attempt at further growth, which is necessarily irregular. Probably the most pronounced of all deformities of the face are those asso- ciated with the eyes, and my collection contains one specimen without eyes (No. 285), one with the eyes deep in the head (No. 135), and one with cyclopia (No. 201). The last belongs to the wonders among monsters, which has interested the thinking world for centuries. In cyclopia the eye is in the middle of the face, is often partly double, the nose is above the eye, and the cerebrum is atrophic and usually single. Teratologists are in the habit of holding the single brain as primarily responsible for the condition, and I think they are right. We have seen repeat- edly that the central nervous system suffers very frequently in pathological embryos, and a slight atrophy or destruction of the front of the brain in an early stage (like No. 12) might easily end in cyclopia. We cannot admit, however, that the tendency to produce cyclopia exists in the ovum, nor that a close-fitting amnion did the mischief, as there is no evidence for these theories, and the facts are against them. If, however, the brain is malformed and the lack of correla- tion of growth of the parts does not push the frontal process down rapidly enough, the eyes move towards each other and unite. All this has been proved experimentally. 46 MALL. [Vor. XIX. Ten years ago Born,! in making numerous experiments upon frogs’ eggs, occasionally produced cyclopia by splitting the head through its sagittal plane after the medullary plate is formed and then readjusting the halves. They united at once, but in a few instances a double eye was formed. Later Spemann? made similar experiments, and he also produced cyclops embryos. In some of Spemann’s experiments Triton eggs were ligated in the sagittal plane during segmentation, and frequently embryos resulted with double heads, one or both being cyclops. He believed that this experiment proved that the anlage for the cyclops eye was defective from the beginning and is not produced by concrescence of two anlages. Levy? also produced cyclops embryos by cutting off the front of the head of Triton larve. In the course of two weeks the two eyes approached each other and formed a double eye, but they were not fused; the pigment layer became destroyed, or at least was absent at these points. The two optic cups touched each other. A year ago Harrison produced a new variety of cyclopia by removing the entire brain from frogs’ embryos. The eyes moved to the back of the head in these specimens and appeared to unite into a single vesicle in the region usually occupied by the pineal eye. By pricking the extreme anterior end of the embryonic shield in Fundulus eggs Lewis found, in 1905, that many of the eggs developed into cyclops embryos. All stages of eyes were formed, from a double eye, and hour-glass eyes with two lenses, to oblong eyes with either two lenses or a single lens. The optic cups blended absolutely, thus proving the mode of development in these eyes. Lewis also found that in many of the embryos the brain had not been injured at all, but the prick had destroyed the nose only. This experiment shows conclusively that it is the absence of tissues between the eye anlages that allows them to come *Born, Roux’s Archiv, IV, 1897. *Speman, Roux’s Archiv, XV, 1903, and Zool. Jahrbiicher, VII, Supplement, 1904. "Levy, Roux’s Archiv, XX, 1906. No. 1.] ORIGIN OF HUMAN MONSTERS. 47 together and unite, and that a rudimentary brain is unneces- sary. The experiments of Harrison and of Lewis have not been published, and with their permission I have made this note of them. Finally, since the above was written, the remarkable ex- periments of Stockard,* of New York, made their appear- ance. Stockard found by placing the eggs of Fundulus into a solution of MgCl, that 50 per cent of them develop cyclopia. In them the two optic cups wandered towards each other and united, much as was the case in Lewis’ specimens in which the embryonic shield had first been pricked. The union of the two cups formed a large compound cup, which in turn derived its lens from the epidermis immediately over it in the middle line of the embryo. How the magnesium acts upon the embryo is not clear from Stockard’s description. No doubt it will be found that it retarded the growth of the frontal process much as is the case in Lewis’ experiments. How- ever, the salt acted also upon the whole body of the embryos, for their development was retarded, making them smaller than usual, and their circulation was feeble, but they did not die. In them, as in Lewis’ experiments, the growth of the brain was normal. The remarkable experiments of Stockard set at rest all germinal theories of. cyclopia, and prove that every egg has in it the power to develop cyclops monsters. At any rate, these experiments, as well as the numerous pathological embryos with deformed heads and faces, prove that there is an extensive destruction and shifting of tissues in the formation of monsters. This is also well illustrated in the production of club-foot in the human embryo. It has frequently been noticed that tadpoles whose development had been arrested formed stubby or club tails and fins, a condi- tion that corresponds well with club-shaped extremities in man. In my collection there are eighteen embryos with de- formed legs or feet, ranging from the very earliest period ‘Stockard, Roux’s Archiv, XXIII, 1907. 48 MALL. [Vor, XIX. until the foetus is well formed. The leg bud is filled with con- densed mesenchyme and is irregular in shape, sometimes being stubby on one side of the body and normal on the other. The study of the larger embryos shows that there is a kind of “inflammation” in the deformed extremity, there being an “infiltration”? of cells, which is especially well marked in the tendons and around the cartilages. In general, this condition may be accounted for by a general arrest of development due to impaired nutrition. At any rate, embryos that are not developing well, experimental larve, and human embryos with other malformations, often have club-shaped arms, legs, fins and tails. PATHOEOGICAL OVA: As we pass up the vertebrate scale it becomes more and more difficult to ascertain the primary causes which produce pathological ova, and prestmably monsters. In fact, the causal study of teratogenesis has been and still is one of the capital problems in medicine which is gradually being solved by anatomists. It has been stated repeatedly in this paper that the missing link to complete the chain of evidence is to be found in the careful study of aborted ova which are found to be more or less diseased. In the excellent monograph by Granville’ we find a report of the study of forty-five aborted ova, from which he concludes that the chorion is first diseased, which naturally results in retarding the growth of the embryo. He notes that an inflammatory condition must have been present in the uterus, for the abortion of pathological ova is usually accompanied with great pain and an excess of hemor- rhage. I have been unable to obtain valuable data regarding the condition of the uterus in early abortions from pathological, gynecological or obstetrical literature. It is all clouded in "Granville, Graphic Illustrations of Abortion, London, 1834. No. 1.] ORIGIN OF HUMAN MONSTERS. 49 mystery, and one finds an endless contradiction of opinions. It seems to me that a study of the norm, uterus and chorion is required before much headway can be made. In my opinion, this is possible only in some great clinic which has attached to it a first-class laboratory manned by able investigators. How- ever, for the present, we must do the best we can with the data at our disposal. First, I shall quote from several com- petent recent writers. Ahlield states in his treatise on obstetrics? that many abor- tions are due to endometritis, which produces inflammatory adhesions of the placenta and membranes; hypertrophy of the decidua is associated with abnormal forms of the placenta, which is followed by an arrest of the development of the em- bryo. Furthermore, atrophic endometritis is commonly fol- lowed by the formation of an atrophic decidua, which in turn must retard the growth of the ovum. In addition to these forms there is a condition known as hemorrhagic endome- tritis, due to a variety of infections. The hemorrhages which take place in the chorion or placenta are often accompanied with bacteria or may be due to nephritis, which may be fol- lowed by decidual infarctions and death of the embryo. In these cases the effused masses of blood are in successive layers of old and new clots, forming a tumor known as decidua tube- rosa. In case the bleeding continues after the death of the embryo the chorion may be converted into a fleshy mole. Ahlfeld further states that repeated abortions are due to endometritis or to syphilis, but the second abortion need not by any means be due to the same cause as the first. If due to syphilis successive abortions occur later and later in pregnancy. Syphilis, and possibly gonorrhoea, causes abnormal develop- ment of the decidua; in chronic endometritis the decidua undergoes diffuse hypertrophy. According to Virchow, syphilis causes knotty development of the decidua in case the mother is infected; in case the father is infected the primary change is found in the chorion. *Ahlfeld, Geburtshilfe, 1903. 50 MALL. [Vor. XIX. According to Williams* “the death of the foetus is fre- quently due to abnormalities in the development of the em- bryo which are inconsistent with feetal life. More often, how- ever, it results from changes in the foetal appendages, which interfere with its nutrition, such as excessive torsion of the cord, producing hydramnios, hydatidiform mole or syphilis. Abnormalities of the generative tract likewise play an important part in the etiology of abortion. ‘Thus develop- mental anomalies of the uterus, or imperfect development of the normally formed organ, may be responsible for conditions which are unfavorable for the implantation of the ovum and later for the development of the placental circulation. Chronic metritis is supposed to act in the same way. . . . The most important factor in the production of abortion is af- forded by diseases and abnormalities of the decidua. In hypertrophic forms of decidual endometritis—decidua poly- posa—the bulk of maternal blood brought to the placental site - goes to nourish the hyperplastic decidua, while in the atrophic forms the conditions are unfavorable for the normal implan- tation of the ovum and the development of the placenta. More important still is the part played by chronic glandular endo- metritis and acute inflammation of the decidua. The former is usually acompanied by hemorrhagic changes, and is the most frequent cause of abortion in the early months.* I gather from conferences with competent scientists of large *Williams, Obstetrics, New York, 1903, p. 522. *Marchand, writing on moles, says in Eulenberg’s Encyclopedia, Vol. 15: “Abortives Ei ohne Spur eines Embryo oder mit mehr oder weniger unbekanntlichen Resten derselben. Ein sehr haufiges Vorkomm- niss bei Aborten, welche wohl in den meisten Fallen durch frithzeitige Unterbrechung der Ernahrung infolge beginnender Losung des Eies von der Uteruswand, Blutungen in der Decidua basalis und capsularis oder durch vorausgehende Erkrankungen der Uterusschleimhaut bedingt ist. Zuweilen findet sich ein kn6tchenfOrmiger Rest des Embryo an der Innenflache oder ein Rest des Nabelstranges oder eine mit Fltssigkeit gefiillte Blase. Ist der Embryo nicht vollstandig zu Grunde gegangen und erfolgt die Ausstossung des Ejies nicht, so kénnen anderweitige Missbildungen die Folge sein. Bei der Ausstossung findet man die Decidua basalis und capsularis mit Blutextravasaten durchsetzt (Blutmole).” No. 1.] ORIGIN OF HUMAN MONSTERS. 51 experience that “uterine scrapings after abortion rarely show signs of endometritis, although they contain many leucocytes and characteristic masses of fibrin. When the abortions from one woman are frequent she is undoubtedly syphilitic.” An- other argues that endometritis rarely shows the presence of inflammation, and states further that inflammation of this organ is usually confined to the cervical canal. Still another states that endometritis, which is a rare affection, is usually due to the gonococcus or sometimes to an acute infection. At this place it may be pertinent to state that pathological ova and monsters, which are quite frequently found in other mammals, cannot be due to syphilis or gonorrhcea, but are often accompanied with a peculiar kind of separation of the chorion. In such specimens a large mass of mucus and no blood encircles the ovum, and from all indications the embryo has died suddenly, for it is not deformed. It is not necessary to introduce more opinions, for they will not lead us nearer to a solution of the problem. For the present, the opinions as expressed by Ahlfeld and by Williams are the best at our disposal. Both are able scientific obstetricians, Ahlfeld being in addition a teratologist, and Williams a leading obstetrical pathologist. It is well known that a woman who aborts a pathological ovum or gives birth to a monster will probably abort again, and runs a greater chance of giving birth to a second monster. Teratologists are inclined to read these facts in favor of the germinal origin of monsters, which may even be hereditary. Since there is no recorded case of a woman giving birth to a second polysomatous monster, while there are numerous cases in which women bore second merosomatous monsters, we can as well consider the former as “accidental” and the latter as due to some change in the uterus and not inherited through either the germ or the sperm. (Certain varieties like those of the extremities and anatomical anomalies must be . excluded from this discussion, for they are known to be ger- minal and are hereditary.) To be sure, we cannot exclude the possibility of a certain per cent as being germinal, that is, 4 52 MALL. [Vor. XIX. there was some change in either of the germs before fertiliza- - tion took place. On the other hand, experimental work on amphibian, fish and bird embryos shows that monsters can be produced with ease from perfectly normal fertilized eggs. In general the methods employed by experimental teratologists is to subject the eggs to various insults which affect the nutri- tion and impair the growth of the embryo. If now a similar condition can be found to exist for human pathological ova which corresponds with those the experimental teratologist produces, the point is proved, that is, many merosomatous monsters may be formed by placing normal ova into an un- favorable environment. All of our experience in teratogeny, if read aright, indicates that the normal ovum got into a diseased uterus did not implant itself well, and the consequent impairment of nutrition produced a monstrous embryo. This hypothesis, which will be proved to be correct under the heading of tubal pregnancy, explains fully the presence of so many pathological embryos in multiple abortions and the apparent germinal origin of merosomatous terata like spina bifida and anencephaly. His,® in the discussion of normal and abnormal embryos, is rather of the opinion that pathological embryos are due to primary changes in the germ, and that their abortion naturally takes place because such ova act as foreign bodies in the uterus. In some instances, however, he excludes the possi- bility of the primary cause being due to an interference with their development, such as may be brought about by deficient nutrition, lack of oxygen and mechanical influences due to the uterus being displaced. Later,® in a discussion of open ques- tions in pathological embryology, he seems to be inclined to abandon the theory of the germinal origin of pathological ova altogether, for the examination of several specimens showed that the changes within them were of a secondary nature. They indicate that the embryo is in process of dying, that "His, Anatomie menschl. Embryonen, II, 1882. *His, Virchow Festschrift, I, 1899. No. 1.] ORIGIN OF HUMAN MONSTERS. 53 is, the tissues of an embryo as normally formed have become swollen, are disintegrating and strange cells are wandering through them. In His’s opinion such changes cannot be viewed as primary, but rather as secondary conditions. The other student of pathological embryology, Giacomini,’ emphasizes the necessity of studying the form and structure of the decidua in normal as well as in pathological ova, for at this point mechanical and nutritive influences must occur, which are of prime importance in the production of early path- ological embryos. He predicted that such a study, together with experiments upon lower animals, would ultimately ex- plain the origin of monsters. There is one more opinion, from the hundreds upon this subject, which I must not omit. It is from O. Hertwig,’ in his more or less general article on the production of spina bifida in Axolotl. After stating that a .6 per cent solution of NaCl will produce spina bifida in frogs and a .7 per cent solution will produce the same kind of monster in Axolotl, he asks whether it is not possible that some similar method is employed by nature to produce spina bifida in man? Is it not possible for chemical substances in the blood—as alcohol, toxines or medicines—to pass from the uterus to the ovum and make it monstrous? Evidently he believes that the power to become monstrous is not inherited, but is due to external influences. It is extremely difficult, if not impossible, to prove directly that the primary changes which produce pathological ova are in the chorion and not in the embryo. I find in glancing over the tables which follow, with the discussion of the individual specimens, that among 143 pathological specimens but fifteen appear to have a normal chorion, and that in thirty-five the chorion is sufficiently infiltrated with leucocytes to indicate that some inflamamtory process was present in the uterus. In all of the specimens excepting the fifteen in which the chorion "Giacomini, Merkel u. Bonnet, Ergebnisse, IV, 1804. *O. Hertwig, Gegenbaur’s Festschrift, II, 1896. 54 MALL. [Vou. XIX. appears to be normal all kinds of secondary changes have taken place. The mesodern is fibrous, hyaline or cedematous, the villi are atrophic, hypertrophic or missing altogether, and the syncytium is irregular or necrotic, and sometimes it has at- tacked and invaded the mesoderm of the chorion. The decidua when present is usually infiltrated with leucocytes, which often accumulate in great masses, or often form abscesses. All this could take place if the embryo had died and the ovum had continued to grow, but on account of the presence of a dead embryo the uterus reacts as if it had a foreign body to expel. In fact, most of these changes just enumerated probably took place long after the embryo had become monstrous, and we are no doubt treating with the primary process, much intensi- fied by the presence of a pathological ovum. The final proof in favor of the theory that these changes are primary will be given under the discussion of tubal pregnancy. It will be noticed that the “normal” chorion is most com- mon in young ova, that is, before the process of destruction has been under way for a long time. In an earlier publica- tion? upon this subject I was much inclined to the idea that the primary difficulty in a pathological ovum is to be sought in the embryo, but later’? I formed the specimens into two groups: (1) Those in which the primary cause lies in the embryo, and (2) those in which it is outside of the chorion. This gradual change of my ideas is identical with that which both His and Giacomini passed through, for all of us based our conclusions upon a simple morphological study. The morphologist must be very careful in the arrangement of his sequences, and I think it is to our credit that we have been so. But now, since we have experimental teratology and a more careful study of the gynecological history of the speci- mens to fall back upon, it seems to me that the solution of the problem is at hand. The ova which appear to be normal, but have within them deformed embryos, or none at all, are the ones that require *Mall, Welch Festschrift, J. H. Hosp. Rep., IX, 1900. *Mall, Vaughan Festschrift, Ann Arbor, 1903. No. 1.] ORIGIN OF HUMAN MONSTERS. 55 our most careful consideration, for in them we are to find the first pathological changes. In studying the villi of the chorion in these specimens I tried to remain on the safe side when I stated that they were fibrous or cedematous, and no doubt erred correspondingly when I stated that others were normal in structure. In the course of time I found that in most chorions which were markedly pathological a stringy mass of fibrin or mucus more or less rich in leucocytes was found between the villi. In specimens undoubtedly normal and containing a normal embryo this stringy mass was never found. Occasionally a stringy mass was found between the villi in ova which appeared to be perfectly normal. A good example is found in an ovum which appeared perfectly normal with the exception of a lateral pouch to it, containing an em- bryo four millimeters long which is slightly deformed’? (No. 80). Sections of the villi show that they are perfect in form. and in structure, being covered with a well-developed syncy- tium. Between the villi there are strands of a fibrin-like mass, in which there are imbedded a number of leucocytes. Another specimen which has been described by.me as a normal one contains a similar substance between its villi‘? (No. 12). In this specimen there is an unusually well developed magma reticulé and the head is underdeveloped. The neural tube is wide open at both ends, and it seems to me that its form is not quite normal. It came from a woman twenty-three years old who had been pregnant twice, aborting both times. Two other specimens may be mentioned, one which I have also described as a very young normal ovum because I knew that the abortion had not been a natural one.** The woman had had a continuous hemorrhage for seven days before the abortion, and since then I have learned that the detachment of a normal ovum for a much shorter time than seven days is “Mall, Johns Hopkins Hospital Reports, IX, Fig. 80. "Embryo No. 12, Journal of Morph., X, 1897, Arch. fiir Anat., Suppl. Bd., 1897, Johns Hopkins Hospital Reports, IX, Fig. 12. ®No. 11, Anat. Anz., VIII, 1893, Journal of Morph. X, and Johns Hopkins Hospital Reports, IX, Figs. 14 and 15. 56 MALL. [Vor. XIX. sufficient to cause an embryo to become monstrous. Specimen No. 250 of this communication is about as old as No. 12, only it is slightly more deformed. It had been removed with a curette from a woman who was suffering from uterine trouble. The decidua which encircles the ovum is well infil- trated with leucocytes, showing that the decidua was inflamed. These four specimens are representative. One was detached by mechanical means, one was removed by a curette on ac- count of endometritis, and two were spontaneous abortions of ova which appeared to be normal but contained a stringy mass between the villi. This condition is usually well marked after the chorion has undergone radical changes and is well infiltrated with leucocytes, which often form into smail abscesses. In the following table I have brought together all of the pathological ova in my collection in which there is any history of the women from whom they were obtained. Positive as well as negative histories are given: A glance at this table shows that in eleven cases the main trouble preceding the. abortion was a severe hemorrhage ex- tending over a number of days. In a second set of twelve cases the abortions were from first pregnancies in women newly married or who had been married for some time and were anxious to have children. In the third group of ten cases the women had given birth to a number of children and then began to abort, often a second or third time. . The first group need not be considered further, but the second group consists of women who are naturally sterile and abort when they become pregnant. The third group of ten cases is more easily understood. The women, perfectly healthy, gave birth to one or more children and then conceived but aborted quite regularly. In these cases we must admit that the uterus was at first perfectly healthy and the ovum was normal, but later, due to a variety of infections, the uterus became “inflamed,” and thereafter the fertilized ovum could not implant itself, became pathological, and later was aborted. According to the data given, seven of the mothers were healthy and twelve had uter- 57 and No. 1.] ORIGIN OF HUMAN MONSTERS. No. Condition of Mother. pice Remarks. tr |Apparently normal. Some |Hemorrhage for 7 days. 12 | Married 3 years. None |Two abortions. FiDI™ lke versie: atauereyevetey siete Marenstere re ete carmiers ? |Hemorrhage 4 days. Cf die Waicace SOR NCP REDROR ICN ets Oe ocean ee ee .|First pregnancy. WO. Nedcesath crass Gr.cyec'jatc, Realy ous tere tages cat's 1 |Great flooding. 71 |Chronic cystitis and endome-| None |First pregnancy, gave birth to tritis. a child a year later. 17 aE Re aM EY SUS ie MOT oe lene aR) NRE ....---| Hemorrhage for 12 days. 11o | Uterus large and retroverted 9 |Hemorrhage 5 days. See No. I4t. Speen el ater etaehsterale ter tags eis tO -| Hemorrhage 8 days. ¥93) (Perfectly normale 0 et aie de Hemorrhage 8 days. TAG Ate Wate rey toavss ary Merete tats vores n ial." aistsoye Lives sa em Mechanical injury to ovum. 141 | Uterus large and retroverted 9g |See No. rro. PAD ea| Weick horsiacsvone Ohoaye. sVayahe ave Sis soar 3 |Hemorrhage 4 days, third abortion, one 3 mos., one 20 mos. ago. 152 |Endometritis, Some |Third successive abortion, each time in third month. 159 |Perfectly healthy father and) None |Married two years. This is mother. No indication second abortion at third whatever of endometritis. month. Repeated hemor- rhage during pregnancy. Anxious to have child. 161 |Purulent leucorrhcea. Had| ? tube introduced 4 weeks before abortion. 162 |Not the slightest indication of} 5 |Bleeding for two weeks before uterine disease. abortion. 205 |Syphilis suspected. None | Married three months. 209 |30 years old. ? |Three years ago miscarriage in third month and 3 months ago gave birth to a monster. DOW erate eee ne ee eee ee a ain Bpuw'|. os Maraties Nishelevanmanaychn cal shane eee arene 228 |Fairly healthy. None | First pregnancy. 230 |Always menstruated regularly; 3 (Three other miscarriages. during pregnancy. 246 |Youngest child 7 years old.| 2 /|Five miscarriages, all about Since then miscarriages. the same size as this one. PIN OM A eee. eit eR eae vied ouch Se whe lies ? |From uterine scrapings. 252 |First pregnancy in an un-| None |Continuous picgusiar eles fora married woman. month. 278 |Chronic endometritis. ? |From uterine scrapings, 292a)Was curetted two years ago None /|First pregnancy. for menorrhagia. ZO Finishes en cteyet aie eleuscaieusl oueteve’s aoe wade ? |From uterine scrapings. ae Pm ae ety ote (er Neen aera) SO oe : \ Prom the same woman. Sea Re eae oie NS ine Seeks. 0 None |One other abortion in eighth month. 364 | Uterine trouble. None |First conception in a woman anxious to have a child. 395 |Removed on account of ? |From uterine scrapings. eclampsia. 399 | Woman a marked bleeder. None | Married ten months. 402 Subinvolution of the uterus. 58 MALL. [Vor. XIX. ine disease. Although this division does not correspond with the above three classes, in a general way it is suggested that women who are called normal abort with much hemorrhage, while the ones with uterine disease belong to the second and third classes mentioned above. Although these data indicate that pathological embryos are due to faulty implantation of the ovum, they by no means prove it. All of the ova in the third group of ten cases could certainly not have been destined to become pathological, for they all came from women who had given birth to healthy children. They could not attach themselves successfully to the diseased uterus, and, due to malnutrition or poisons which are thrown out from inflamed surfaces, the chorion became pathological and the embryos deformed. This point is fully proved, I believe, in the study of ova from tubal pregnancies. TWIN PREGNANCIES. Especially instructive and interesting are those cases in which two pathological ova were obtained from the same woman. Five such sets are found in my collection which I shall describe. The first set, Nos. 308 and 325, are from a woman who had born two children during the previous two years, and are especially valuable in this discussion. The first ovum (No. 308) appeared to me perfectly normal, and the embryo within it was not changed at all. However, the amnion was found filled with a jelly-like mass of granular magma, and this aroused my suspicion. Sections were therefore cut from the placenta at the attachment of the cord and a stringy mass rich in leucocytes was found between the villi. They were normal in form and possibly their mesoderm was fibrous in structure. Nine months later a sec- ond ovum was obtained from this woman, which was de- cidedly pathological. Both the chorion and the embryo were much changed, as the figures and description of the specimen will show. This case, which should be observed further, is to be explained by disease of the uterus, which began after the birth of the second child. This change had not gone far No. 1.] ORIGIN OF HUMAN MONSTERS. 59 at the time of the first abortion, but was more advanced at the time of the second abortion. (Later the woman died of pneumonia. See history of No. 308.) The second set, Nos. 110 and I4I, came from a woman who had had nine children, after which she broke down in health, about ten years ago, when she conceived quite regu- larly, but aborted each time. The two specimens, which are about a year apart, are much alike, no doubt due to their subjection to the same environment. The chorions are mark- edly changed and the embryos are macerated and very much deformed. The third set, No. 330a and b, are twin ova from a woman who had aborted once before. These two specimens show practically the same changes in the chorions and in the embryos, as may be seen by the figures and the description. The fourth and fifth specimens, Nos. 207 and 341, form two sets of duplicate twins. Unfortunately, no histories accompany either set of specimens. However, in each set the changes within the embryos are about the same degree, but, of course, these sets do not throw any light upon the question whether the primary change was in the germ or in its environment. The history of the first three sets, however, speak decidedly in favor of the hypothesis that the ova were normal to begin with, and the pathological changes within them are due to the diseased condition of the mucous membrane which sur- rounded them. The implantation was faulty and a variety of other complications was present to interfere with the nutrition and growth of the embryo, which consequently became deformed. Very recently Dr. West sent me two ova (Nos. 384 and 419) from a woman with an undeveloped uterus of infantile type. She had been married three years, became pregnant twice and aborted on the fifty-fourth and on the fifty-ninth days. The chorions are covered with degenerated villi, which are imbedded in and encircled by much blood. Both are mark- edly pathological and each contains a deformed embryo about 3 mm. long. 60 MALL. [Vor. XIX. UNRUPTURED TUBAL PREGNANCIES. It is of interest to consider together the ova obtained from tubal pregnancies, for it is through them that light may be thrown upon the question, if the embryo is pathological, whether its condition is inherited or is due to the bad environ- ment of the ovum. In case it is the former, the per cent of pathological embryos should not be larger than those obtained from the uterus; in case it is due to the latter, the per cent should be increased. It is stated by different writers that embryos are rarely found in tubal pregnancies, but that remnants of the chorion are often present. However, it is also stated that, in case the tube is found ruptured and much blood has escaped into the peritoneal cavity, the embryo may have been present, but could not be found on account of the great quantity of blood. On the other hand, Professor Brodel informs me that among eleven specimens of tubal pregnancies found recorded in his catalogue of human embryos nine contained normal speci- mens. In my own collection seven tubal pregnancies out of nineteen specimens contained normal embryos. It must be remembered that as a rule specimens were sent to us only in case the surgeons who removed them found normal embryos, which they thought we were collecting. Considering only the tubes that were sent to me unopened and excluding those which were obtained from Dr. Kelly’s gynecological labora- tory, I find among seven specimens two ova without embryos, four with pathological embryos and but one with a normal embryo. The other six normal embryos spoken of above were all recognized by the surgeons as “‘normal and valuable specimens” before they came into my hands. Following the hint obtained by considering all of the speci- mens which came to me unopened, I collected all of the his- tories of the same kind of specimens from Dr. Kelly’s laboratory. These cover a period of about ten years and are taken from the laboratory records of over 10,000 miscel- laneous cases. I find that altogether 128 cases of tubal preg- No. 1.] ORIGIN OF HUMAN MONSTERS. 61 nancy were carefully described after numerous sections of them had been examined microscopically. I have excluded the reports of 82 of the specimens, for in them the tubes had ruptured before the operation. Of the 46 that remain the histories state that they were unruptured and vary from one to six centimeters in diameter. Two of the 46 contained normal embryos of the second month and five of them path- ological embryos. The rest, 39 in number, contained entire ova without embryos or simply villi of the chorion in various stages of degeneration. Usually the dilated tube was found filled with blood through which were scattered villi, the chorion rarely being intact, that is, encircling the ccelom. The chorion had collapsed, leaving scattered villi, which were “degenerated,” “poorly formed,” or “necrotic,” in different cases. Usually, it is stated in the record, “‘scattered villi were found in the clot; no embryo was found.” The normal embryos need not be discussed more than to mention that the amnion was very small, as is usually the case in these specimens. The pathological specimens, how- ever, are of the same nature and degree of degeneration as those found in the specimens obtained from the uterus. A number of small specimens which were cut into serial sections contained no embryos at all; they are included among the 39 mentioned above. From my experience in searching for em- bryos in pathological ova I am of the opinion that a few more pathological embryos would have been found had the specimens been examined with greater care. It is unlikely that more normal embryos would have been found, for in all cases they lie in a ccelom or an amnion filled with a clear fluid. I have never found a normal embryo in an ovum which did not contain a cavity well marked by a sharp wall and filled with a transparent fluid, and therefore think it unlikely that those who made the sections for microscopical examina- tion overlooked any normal embryos. From my records not over seven per cent of uterine pregnancies contain pathological embryos and were the pri- mary cause which produces them located in the germ we 62 MALL. [Vor. XIX. would not expect a higher per cent in ova from tubal preg- nancies. Instead, we find that 96 per cent are pathological and but 4 per cent normal (two in 46 specimens). Since this point is of prime importance in the causal study of terata, I have brought together all of the pathological ova I have obtained from tubal pregnancies. These have been studied with greater care, as a number of them have been cut into serial sections. Most of them will be found figured among the illustrations of this article. The following table shows that there are 14 specimens, of which seven contain patholog- ical embryos and six are entirely free of them. Nearly all of the ova are very small, and in practically all of them the chorion is markedly affected. Generally the mesoderm of the chorion is fibrous and atrophic, the villi also showing all kinds and degrees of degeneration. Occasionally some of the villi are hypertrophic: Dimen- Condition of Number. plone or Embryo. Chorion and Remarks. mm. mm. 5S ja12'x 6 2, Vesicular | Atrophic. 196 | 12x12 | 3, Homoge- | Atrophic—Some villi are en- neous larged and invaded by syn- cytium. 2098 4 None Fibrous villi partly infiltrated with leucocytes. 324 | 45X45 aot Atrophic and fibrous. No syncytium. 342 | 30 X 20 5 Atrophic and fibrous. 348 6, Atrophic 361 10 None Coelom filled with a dense magma. 367 |. Tox ¥ None Villi degenerated in part. 369 7 x8 None Villi fibrous and degenerated. 378 12 None Villi cedematous. 396 7 2, Vesicular | Mesoderm and villi fibrous, some invasion by syncytium Plate II, Fig. 6 8 x 6 None Plate II, Fig. 5 6 Vesicular (?) Plate II, Fig. 7 | 60x20 II Chorion hypertrophic and em-. bryo disintegrating. In most instances the ccelom is filled with a dense magma and in six the embryo is entirely wanting. The embryos in the remaining seven are of the vesicular form in three, of No. 1.] ORIGIN OF HUMAN MONSTERS. 63 the cylindrical form in four, and are necrotic and disinte- grating in the remaining specimens. In general, the changes in the chorion and embryo in these 14 specimens are the same as in those that are obtained from uterine pregnancies. It cannot possibly be admitted that the primary difficulty in these specimens is to be found in the embryo itself, that is, it is germinal, for the ova which become lodged in the tube are probably of an average kind, unless the unreasonable stand is taken that there is a greater tendency for abnormal than normal ova to lodge in the tube. To take this stand it is necessary to overlook altogether those cases in which tubal pregnancy is due to mechanical obstruction of, or to diverticula. from the uterine tubes. The results obtained from the study of these 14 specimens are probably representative of all tubal pregnancies which are examined with great care before the tubes rupture. In the very earliest specimens there are indi- cations of faulty implantation, due no doubt to the character of the tissue of the tube which permits of an excessive hemor- rhage around the ovum (e. g., No. 396). Only in rare instances does a good decidua form in the tube, which in these cases must be produced by the presence of a growing ovum. However, just in these cases a decidua develops in the uterus, although the ovum is not present there. I have found in collecting 434 human embryos of all kinds that 163 of them, or 38 per cent., are pathological. If we consider that an abortion occurs in every fifth pregnancy, then a pathological ovum is found in every twelfth pregnancy (7 per cent in the table). If anything, this number is too high, for a number of larger normal fcetuses were not catalogued and are not included with the total number—434. If the data obtained -from unruptured tubal pregnancies where the number of pathological specimens rises to 96 per cent are compared with the pathological specimens from uterine preg- nancies (7 per cent), it seems to me that the argument against the germinal origin of pathological ova and monsters is over- whelming. The relation of the chorion to the wall of the tube or to the mucous membrane of the uterus is well known for ova 64 MALL. [VoL. XIX. two millimeters in diameter or larger. The two structures become beautifully adjusted, but in the case of most tubal pregnancies the small ova and villi float largely in a mass of blood, are not adjusted to the decidua, and, apparently, on account of impaired nutrition, degenerate. The syncytium becomes atrophic, the villi become fibrous, and often leucocytes as well as syncytial cells invade the mesoderm of the chorion. It naturally follows that when the nutrition of the ovum is impaired the most advanced growing point, the embryo, for which all is adjusted, should suffer most. Thus it happens that in many instances the chorion is not markedly changed, but the embryo is almost entirely destroyed or is wanting altogether. In a short time the ovum collapses, becomes an irregular mass, and its “rootlets,” the villi, are still found scattered throughout the blood-clot, or a small heap of them are found poorly adjusted in a fold of the tube covered with changed and distorted syncytium and decidua. These conditions, found so well marked in tubal pregnancies, are also found in uterine pregnancies, but in them it is difficult to determine whether the degeneration of the chorion follows because the embryo has died suddenly or has inherited the power to become abnormal. The study of the ova from tubai pregnancies demonstrates conclusively, it seems to me, that the changes in the chorion are primary, and those in the embryo secondary, due to faulty implantation of the chorion. Another argument in favor of the view I have advanced regarding the production of pathological embryos is obtained by studying those embryos in tubal pregnancies which were not destroyed at once, but which became well attached and grew on towards full term. I mean the fate of the 4 per cent of normal embryos found in early unruptured tubal preg- nancies. No. 1.] ORIGIN OF HUMAN MONSTERS. 65 RUPTURED TUBAL PREGNANCIES. According to Williams,’ most of the ova in tubal preg- nancy are extruded through the internal opening into the abdonimal cavity, producing a condition known as tubal abor- tion. He collected the cases published by various authorities, and found that in 289 cases that were carefully reported 78 per cent ended by abortion and 22 per cent by rupture of the tube. Among these there is a small per cent of normal embryos, and the fate of them has recently been studied by Von Winckel.? - Before considering Von Winckel’s report it is necessary to collect some data regarding the frequency of abortions of pathological ova and of monsters in uterine pregnancies. Williams states that ‘‘a conservative estimate would indi- cate that every fifth or sixth pregnancy in private practice ends in abortion, and the percentage would be increased con- siderably were the early cases taken into account, in which there is a profuse loss of blood following the retardation of the menstrual period for a few weeks.” I also find that Marchand* has collected the per cent of monsters from a number of writers; his figures are as follows: Beticr: Births. Monsters WB ieeiisstetn os tis slate kink Senter Genus 22,293 132 12 E51 6) OWS) Sarr er ee ey ee er 772, 7 PIG MEWIOREL fe. 2 Sar. wate tie eo 39,917 88 MUR IIMG Se Nerney Suettart 16 AG 25 25 Elise (iohis): *ssc 6s. ay} 51 INO BOO octets sts ng) 54 icli(o ige-o as Peete reer 17 Bema 26 The first pathological specimen which I shall consider is No. 311, an unusually good one, for it is well preserved and there is every indication that the changes in it were produced gradually. Unfortunately, the menstrual age is not known, but I am of the opinion that it must be at least fifty days, that is, about two weeks more than normal embryos of the same size and degree of development. The chorion is covered with villi of unequal size, which show all degrees of activity, some being hypertrophic and others atrophic, fibrous and more or less invaded by leucocytes. The surrounding inflammatory process has gradually destroyed the villi. The condition of the vessels within the villi also indicates that the process of destruction has been gradual; the large villi contain fairly well developed capillaries, and the small ones are devoid of them altogether. The umbilical cord is enlarged in its center and very small at its attachment to the chorion. In general, it is fibrous and its blood-vessels are contracted and empty. The enlargement in the cord is due to the mucoid masses 120 MALL. [VoL. XIX. TABLE XIII. ARRESTED DEVELOPMENT OF THE EMBRYO, (Sixth Week.) No. area. | Dae ee of | ped cu | Changes in the Chorion. mm. mm. days. 311 124 36 X 30 X 30 Fibrous. 69 13 70 X 40 X 20 Atrophic and fibrous 174 13 25 xX 2560. oie 56 Atrophic. Invaded by syn- cytium. Olen eS ee 2 I SOG 5m aline. ae 2S a seid ss : cca Mucus and pus be- tween villi. aris 13 Fibrous. 276 134 TORRES In exe a16 80 Fibrous. 232 14 AG ooh axes Fibrous (?). 262 14 SOx 15% 115 Villi invaded by leucocytes. 270 14 40 X 30 X 20 Fibrous and atrophic. 305 | 14 | = 341 14 70 X 60 X 50 Fibrous. Some villi cedema- tous. (Twins in a single chorion.) 81 i GNX 55 x35 84 Atrophic, infiltrated with leu- cocytes. 132 15 42) xX 30 89 Atrophic. 142 15 50 X 40 X 30 129 Fibrous. Invaded by syncy- tium. 200 15 Siew 2 5 oes Fibrous. 212 15 Very large 189 (?) , 364 16 90 X 50 X 4o 99 Fibrous and atrophic. 07 16 60 X 50 X 30 86 Fibrous. ; 207 16 TOR AG x AS Chorion hyaline(?). Syncy- tium irregular. Decidua in- filtrated with leucoytes. (Twins in a single chorion.) 339 16 50: X 20.30 Hyaline. ; 344 16 45X45 X45 Fibrous and atrophic. 203d!" 35 27 Oa Normal(?). 188 te] 45 X 40 X 40 66 _ Very fibrous. 215 0] 45 X 40 X 4o 12 wks. Fibrous. 357 Ly 90 X 40 X 40 13 wks Fibrous. Invaded by syn- cytium. within, seen so often in pathological specimens. Within the embryo the vascular system and heart are much dilated and filled with blood. The whole condition of affairs indicates that the circulation was interrupted shortly before the abortion took place. . . The embryo is imbedded in an irregular mass of granular magma, and from its external form it seems to be nearly normal. However, its neck is kinked too much in front, and No. 1.] ORIGIN OF HUMAN MONSTERS. 121 sections show that there is an active growth of scar tissue at this point. In general, all the tissues are more or less dis- sociated, the cartilages and precartilages being most resistant. The walls 6f the heart and blood-vessels are not sharply defined and many blood cells spread from them into the sur- rounding tissues. The central canal of the spinal cord is dis- tended and the peripheral nerves are well infiltrated with round cells. The dissociation of the fore-brain and mid-brain is pretty complete, and the walls of the medulla are spreading out into its ventricle. In general, the head is reduced in size, The most marked secondary changes are seen in the mesenchyme of this specimen. At points there are fibrous thickenings in the skin, which frequently form papillomata, covered more or less with a single layer of epithelium. In front the face and chest have grown together, the point of union naturally closing the mouth, including the tip of the tongue in a mass of round cells. I picture the whole process as follows: In general, the de- struction of villi in the chorion is followed by fibrous atrophy of the umbilical cord and arrest of the heart beat. After the circulation has ceased the organs and tissues gradually dis- sociate and blood cells enter the tissues. Probably before the changed conditions had reached this extreme state the brain began to dissociate and became solid, and the face atrophied and united with the chest below. The changes in the rest of the embryo were not marked until the circulation ceased altogether. It is clear, however, that the brain dis- sociates before the rest of the embryo, for we constantly find in it more radical changes than in other portions of the embryo. Practically the same pathological changes described for specimen No. 311 are found in Nos. 375, 69, 174, 182 and 325. No. 174 has horn-like processes and No. 182 has a straw-colored necrotic mass in front of the head. No. 325 shows still more advanced changes, the necrosed liver is dis- integrating, this process having begun in 311. From all appearances this embryo has been dead for a long time, which is also indicated by its menstrual history. 122 MALL, [VoLt. XIX. Embryos 14 mm. long repeat the story given by those 13 mm. long. The least amount of change is found in No, 270, which is nearly identical with No. 311. However, the brain is not quite so solid, the dissociation of the tissues of the body is about of the same degree and the frontal process is united to the thorax below. Within the medulla there are papilliform sprouts of nerve tissue which extend into the ventricle, just as in No. 311. No. 346 may be a little older than No. 270, but the changes in it are not quite so advanced, nor has the frontal process united with the thorax below. The head and neck are also straight in Nos. 262 and 232, the changes in the tissues being very advanced. In No. 262 the cerebral hemispheres form a solid mass, which looks like an abscess, the medulla is much distended and its thin anterior wall protrudes through the mouth. Much the same condition is found in the cylindrical head of No. 232. In it the large fifth nerve may be seen running to the surface of the body, and acts as an index to tell how much of the head has become atrophied. The arms and legs are gorged with well stained round cells, indicating that secondary changes have taken place in them. The marked changes which have taken place in the brain and head have met their end in embryo No. 276. Here we find advanced changes in the head, but the body is much like the other specimens. The medulla is greatly distended and fills entirely the rounded top of the body, the rest of the brain having been expelled through an opening which is still pres- ent. Around the edge of it the epidermis is piled upon itself, apparently attempting to heal the wound. The severe changes in the chorion and the long duration of the process have ended by destroying entirely the brain and the top of the head, leaving the body of the embryo capped only with a remnant of a head containing a dissociated medulla. Most radical changes are found in specimen No. 365. The embryo is within a fibrous chorion. There is spina bifida, iniencephaly and anencephaly. The mouth is closed completely by the tongue becoming adherent on all sides. The tissues of No. 1.] ORIGIN OF HUMAN MONSTERS. 123 the body are necrotic, and most of them are infiltrated with round cells, and there is irregular growth of the mesodermal tissues, especially those of the tendons and perichondrium. The embryos of the second portion of the sixth week, that is, embryos 15, 16 and 17 mm. long, may be brought together in three groups, according to the degree of change in their tissues. In the first group there are three specimens, Nos. 263d, 132 and 188. In these the first changes are seen after the circulation has been cut off. The tissues and organs are sharply defined, the vascular system is distended with blood, and more or less round cells are found inthem. ‘The fore-brain is solid and the medulla and cord are somewhat dissociated. In No. 263d the brain has broken through the palate and a considerable amount of it has escaped into the mouth. How- ever, this embryo is macerated somewhat and is slightly torn in the region of the back, and the brain capsule may have been torn open by mechanical means. In embryo No. 132 the extremities of the right side of the body are atrophic, while those of the left appear to be normal. In the second group of specimens (Nos. 344, 137 and 357) the changes in the embryo are more marked. The blood- vessels are gorged, their walls are not sharply defined and the blood cells extend from them into the surrounding tissues. In No. 344 the brain is reduced in size, is solid and occupies but a small portion of the head. The medulla is dissociated and expanded and has been pushed forward, almost reaching to the front part of the head. Below this the jaw is kinked over the chest, with which it has formed a secondary union. Over the regions of the fore-brain and mid-brain there are spots in which all of the surrounding tissue is wanting entirely, thus exposing the brain freely at these points. The last group includes the embryos in which the changes are extreme, and includes seven specimens, Nos. 81, 142, 200, 212, 215, 339 and 364. In them the tissues are well disso- ciated and more or less filled with round cells. The usual changes are seen in the central nervous system, the spinal 124 MALL. [Vou. XIX. cord being dilated, while the brain and medulla are solid. In these embryos the dissociation is carried to an extreme de- gree, the extremities being atrophic, and in some of them the embryos are pretty well disintegrated. In Nos. 81, 200 and 212 the face and the top of the head are composed of a thick- ened mass of necrotic tissue, and the changes in the central nervous system are extreme. The embryo of specimen No. 215 is broken into a number of pieces which barely hold together. Specimens Nos. 142 and 339 are quite typical ones of this stage, for in them the dissociation of the tissue is pretty complete, and the outlines of the organs are quite obscure. Most of the blood has left the blood-vessels and is in the surrounding tissues. The fore-brain is completely separated from the medulla in No. 339, and in general it is reduced “in size: some of it may have escaped through the front of the head, which is broken off. The medulla is rounded at its free end, is distended and fills most of the head. Had this specimen lived it would probably have formed an anen- cephalic foetus. But in order to have lived through gestation the change in the whole embryo could not have been as radical as it is in this specimen, and judging by the anatomy of anen- cephalic monsters the destruction of the brain does not, in all probability, begin until some time after the sixth week. In No. 142 the changes within the embryo are also extreme, but the remnants of the organs remain within the body. However, the external features of the embryo have van- ished entirely, the arms and legs having atrophied completely. No. 364, which belongs to this group, is a most remarkable specimen, for it forms a typical monster and is accompanied by an excellent history. The ovum, covered with a few ragged villi, is from a first conception in a woman who had. been married four years. It was from a natural abortion, the woman being very anxious to have children. In general, the woman appears to be healthy, but she has suffered from a variety of troubles with her uterus and vagina, which are given at greater length in the history of the case. The usual No. 1.] ORIGIN OF HUMAN MONSTERS. 125 changes are found in the chorion, indicating faulty implanta- tion and inflammation. The embryo, whose menstrual age 1s 99 days, corresponds in length with a normal embryo 40 days old, that is, having a menstrual age of 68 days. In other words, the pathological process in No. 364 has been under way for fully a month. The large blood-vessels and heart are still filled with blood and there is a general infiltration of the tissues with round cells; the vessels of the umbilical cord do not reach to the chorion, showing that the nutrition of the embryo has been cut off entirely. There is a general destruction of the tissue due to, or causing, the irregular growth of the embryo. This is especially well marked in the brain and spinal cord, which are rudimentary, are converted into a mass of vascular con- nective tissue capped by a rudimentary shield of brain tissue, as is illustrated in the figures. . There is pronounced hare-lip, the ears are displaced, and there is exomphalos, spina bifida and pseudencephalus; the latter is no doubt the forerunner of anencephalus. That the pathological conditions found in most of the ‘specimens reported in this contribution are not of germinal origin, but rather due to the changes in the environment of the ovum, as may be brought about by endometritis, is illus- trated beautifully by two sets of twins of the sixth week, which I have been fortunate enough to procure—one from Professor Brodel and the other from Professor Minot. To these may be added the twins of the fifth week (Nos. 330a and 330b), the two sets of specimens, each from the same woman (Nos. 110 and 141 and 308 and 325), kindly sent me by Drs. West and Ballard. These groups of specimens speak volumes against the germinal theory of merosomatous monsters. The facts of the case have been discussed under a special heading above, and they need not be repeated here. However, if the law of probability and the normal condition of the embryos in earlier pregnancies were not taken into consideration, they could be explained by the germinal, just as well as by the environmental theory. The conclusive evi- 126 MALL. [VoL. XIX. dence in favor of monsters being due to a change in the environment, which causes faulty implantation of the ovum, thus impairing the nutrition of the embryo, is found in the study of the embryo in tubal pregnancy, where 96 per cent of them are monstrous. Were the primary trouble in the germ, no more pathological ova should be found in tubal than in uterine pregnancies. Furthermore, all this is vouched for by comparative experimental teratology. To be sure, polysomatous, pansomatous and those meroso- matous monsters that are due to an arrest of development at a very early stage (monopodia) and those variations of an hereditary nature (polydactyly, polymastia) and ordinary anatomical anomalies, cannot be due to changed environment at a stage so late as the fourth week of pregnancy, and some of them, like variations in the hands and feet especially, are markedly hereditary, and therefore germinal in nature. How- ever, this digression is not altogether to the point; the mero- somatous monsters, the subject of this report, are due to a direct experiment which is equivalent to the mechanical re- moval of most of the villi of the chorion. The two sets of twins (Nos. 207 and 341) are alike in many respects, for each set is contained in a single chorion. The degree of development and degeneration is about the same for each set. In No. 207, the younger one, the process was severe but not of long duration, while in No. 341 the cpposite must have been the case. In both sets the organs and tissues are well dissociated, showing the usual changes so often seen in the embryos studied. When I first took up the study of pathological embryos I was inclined to the idea that the changes in the chorion were often of a secondary nature, but as the specimens became more and more numerous and were preserved better and better, which enabled me to study them with greater care, this idea had to be abandoned. Now it is clear that we are dealing with a simple experiment which must bring about the changes in the ovum and embryo to make it pathological. The greater number of ordinary abortions in the first month consists of ordinary pathological No. 1.] ORIGIN OF HUMAN MONSTERS. 127 embryos. The changes in them are so radical that it is im- possible for but few of them to develop into monsters had they not been aborted. However, it is not difficult to imagine specimens in which the changes are not so extreme, that is, they are due to minor changes in the chorion, which may retard the development of a part of the embryo, and after- wards become corrected, thus favoring the growth of a dis- torted embryo into a merosomatous monster. In nearly all of these embryos there is a tendency for the liquor amnii to increase in quantity, a condition which must also be viewed as a secondary process, and, therefore, cannot be of funda- mental significance in the production of monsters. It is evident from the study of pathological ova that in order to complete the chain of evidence it will be necessary to study anew and with much greater care the membranes of embryos which appear to be normal, for in them we shall no doubt find the very earliest stages of monsters which could have existed and grown throughout pregnancy. The recent publication of Fischel, as well as the more careful study of some of my “normal” embryos (Nos. 6, 10, 11, 12 and 80), indicates that embryos of this kind will probably serve to clear up entirely the subject under discussion. EMBRYOS OF THE SEVENTH WEEK. In the seventh week, when some of the bones are ossified, the embryos have reached a stage in which interference with their nutrition does not shatter all of their tissues at once. The effect upon the central nervous system is still more pro- nounced than that upon the other tissues, and even at this late period the dissociated structures continued to grow in an irregular fashion. The number of specimens at this time is also greatly diminished, as is naturally expected, for the younger ova are attacked early by the infected mucous membrane of the uterus and few of them survive until the seventh week. It follows, then, that as gestation continues pathological ova are 128 MALL. [VoL. XIX. less and less likely to be found. To be sure, the diseased specimen may be retained in the uterus for a long time as a mole, with or without an embryo, but if the chorion is not affected during the first few months of pregnancy it is likely to go on to full term, or if it is aborted so late it rarely con- tains a dwarfed embryo. Furthermore, infections of the uterus are infrequent after pregnancy is well under way, and in case it does take place, the probability of its attacking the whole chorion is slight. The embryo would probably with- stand the insult, since it is now more differentiated and more resistant. There are in my collection ten pathological specimens of the seventh week and half of them may be normal, at least the changes in them are but slight. Furthermore, after the seventh week there is but one pathological specimen a week until the fourteenth week, and none from this time until the end of pregnancy. A summary of the embryos brought together in the various tables is as follows: Vesicular forins 2 Ce oe tere oe eee 19 Ova with neither embryo nor amnion ........ 2 Ova with amnion but without embryo ........ 15 Pathological embryos of the second week ...... 4 Pathological embryos of the third week ...... 18 Pathological embryos of the fourth week ...... 21 Pathological embryos of the fifth week ....... 13 Pathological embryos of the sixth week ....... 2 Pathological embryos of the seventh week ..... 10 Pathological embryos of the eighth week ...... 2 Pathological embryos of the ninth week ...... I Pathological embryos of the tenth week ....... O Pathological embryos of the eleventh week..... I Pathological embryos of the twelfth week ..... O Pathological embryos of the thirteenth week .... 1 Pathological embryos of the fourteenth week .. 1 Now r] ORIGIN OF HUMAN MONSTERS. 129 This infrequency of pathological ova as pregnancy con- tinues is not at all remarkable, for human monsters at term are not so very common, and while they are produced in the early months of pregnancy, at first the changes in them are slight, and consequently they are not aborted. The pathological ova in which the changes in the embryos are very severe are the kind that are aborted and the ones which I have been con- sidering. However, the reactions in them give us a hint of what takes place in the early stages of monsters that continue to develop until the usual end of pregnancy. Of the specimens of the seventh week, No. 128 is normal in every respect with the exception of the presence of a fairly marked magma reticulé in the amniotic cavity. This I have not found in other normal specimens, and, since it is the earliest and most constant sign of a diseased embryo, it is worthy of mention. No. 307 is also no doubt normal, although small clumps of leucocytes are found between the villi and at points they are found in the mesoderm of the chorion. Nos. 268 and 338a may be normal, although some tissue changes are seen. These may be due to maceration, for the specimens are not especially well preserved. Dissociation may have begun in No. 345, but it is more or less obscured by the extensive maceration which accompanies it. Marked pathological changes are found in specimens Nos. 320 and 94. In them changes are found in the chorion, show- ing that the attack by leucocytes has been very severe. In one (No. 94) there is a great amount of granular magma within the amnion. The tissues of the embryos are disso- ciated, the brain and cord being nearly solid. In general, the boundaries of the organs are obscure, their tissues being more or less infiltrated with round cells. We have in these two embryos conditions found so frequently in younger specimens. No. 293 is a specimen of unusual interest, for the sections show that most of the embryo is normal, only one portion of it being affected. The blister upon the back was recognized by Dr. Lamb when he opened the chorion. It is filled with a granular albumen, and at its edges burrows into 130 MALL. [Vou. XIX. TABLE XIV. NoRMAL EMBRYOS OF THE SEVENTH WEEK. | : | SS Specimen. Embryo | Chorion. % =f | 3 mm. mm. days IN@nitGiag Yoneno-6 c 18 40 X 30 X 20 No. 42. 18 35 INOSLO Ob yarns 18 2 mos. NOMS a 18.5 40 X 30 INO, 26) «sisueesehentiers 19 50 X 30 X 20 47 INO M2206 Geet nerr 19 49 INOn ESSts wane Rael 20 50 X 43 76 IN Oe 2 2ietonors cece cie 20 35 X 30 XK 30 No. 240 20 FORA OSes 0 No. 194.++-.4+-+ 21 Aiea AS Minot? rei aetes 22 5a ELIS i) ae aS niet 22 56 INOS 9 cus sonie els 23 30 INOS 242 ators 2B OR FO), 59 Nich < iy aes 70 X 60 X 50 No. 151 52 | 80x 60 x 60 64 No. 169. 52 110 AOP=sG 2m No. 139. 55 | 80x 65 x 4o 79 40 X 30 X 30 No. 326 55 i 75 || No. 267. 59 84 5° X 40 No. 30.. 60 Wa 71 No: 273; Gof, "76 50: m0 56 60 X 45 X 20 No. 92. 70 98 57 Now 23°. 70 65 50 X 35 69 No. 300 he 14 wks 68 No 34h7.<) | 80 104 66 No. 172 80 103 60 X 50 X 40 78 No. 125 83 84 AOE Oeans No. 308. 84 IOL 9 wks Noia3%e go 64 61 No. 146 95 115 77 || No. 39 95 IOI 70 X 60 X 50 No. 117. 100 III VOX Ona 710 No. 394. 105 125 82 No. 138 wine 127 2 No. 355. 113 14 wks 89 No. 126 125 125 60 X 50 X 40 78 No. 149 130 126 44 No. 46.. 135 140 36 No. 356 150 130 84 No. 98.. 160 125 60 X 40 X 30 No. 359. 160 156 80 x 60 x 60 78 No. 354 190 178 65 X50 No. 121 210 190 68x 50x 50 83 line, usually infiltrated with tacked by syncytial masses. thin and much twisted. leucocytes, and sometimes at- The umbilical cord is usually It appears as if the beginning of the trouble lay in the chorion or placenta, which was gradually poisoned by the products of inflammation in the uterus, and in the course of time this resulted in fibrous degeneration of its villi, main wall of the chorion and finally the cord. As a result of malnutrition, the tissues of the embryo grew in No. 1.] ORIGIN OF HUMAN MONSTERS. 135 TABLE XVII. Length of| Dimensions of | Menstrual 5 oy Embryo.| the Chorion. | Age. paren. 152 31 OX 42X35.) 70 Fibrous and invaded by leu- cocytes and syncytium. | Cord thin. 79 32 50 X 50X50 gt Invaded by leucocytes and syncytium. 124 35 90 X 75 X 50 126 Abscesses in the placenta | Cord thin and twisted. 316 44 Cord thin and fibrous. 230 57 75x00 x 50° | 7 WOS: 286 60 LOO! xy5ok 40) 225 Hyaline and infiltrated with leucocytes and syncytium. Cord thin and twisted. 308 84 IO | Fibrous (?) Muco-purulent substance between villi, Cord twisted. 261 go 1207 OX 70 | Very fibrous. an irregular fashion, the central nervous system and extremi- ties suffering most, as is the case in numerous younger specimens. Later the heart stopped, and then the most resis- tant cells of the body continued to grow for a time until everything came to a standstill. These changes are beautifully illustrated in specimen No. 124, which is also described and well pictured in my first paper upon this subject. This embryo is of the nine weeks’ stage, with a chorion twice too large and a menstrual history five weeks too long. This means that after the ninth week of pregnancy the embryo ceased to grow, but the chorion continued to expand at the same rate as the normal one grows, until the fourteenth week, when it aborted. What is also noteworthy is that the amnion did not keep pace with the growth of the chorion, leaving between them a large exo- coelom. The placenta is more or less diseased, that is, infil- trated with leucocytes, which at points produce small ab- scesses. ‘The embryo itself has atrophic ears, club-hands and club-feet. After the embryo had been in my possession for seven years it was cut into sagittal sections, which, unfortu- nately, did not stain well. However, they show that the skin is more fibrous than normal, being infiltrated with round 136 MALL. [VoL. XIX. cells, especially in the deformed extremities, where all of the structures are involved, forming syndactyly. Changes similar to the ones found in No. 124 are seen again in No. 316. Unfortunately, I failed to obtain the mem- branes or any history of this specimen, so its story must be told by its form and structure alone. The feet and one hand are club-shaped, and the other hand is spread out and is attached to the side of the head. The skin is thickened and much of the epidermis has fallen off. At points the epithelial cells form mounds without any tendency towards horny changes in them. The muscles, blood-vessels and nerves of the extremities are converted into one fibrous mass of spindle- shaped cells, giving much the appearance of myomatous tissue infiltrated with round cells. The cartilages are hyaline, and bone has formed in the center of the calcaneum. The hand has grown to the side of the head, the epithelial coverings having united. The true skin is composed of a mass of round cells. No. 230 shows about the same changes, with additional “records” in the chorion, including the menstrual age. Together they show that the pathological process must have been under way for at least three months. There are some leucocytes in the chorion and the cord is thin and twisted. The tissues of the embryo appear normal, but they do not stain well, and the changes in the hands and feet appear to have been caused by mechanical twisting after the death of the embryo. No. 286 is a similar specimen. The chorion is hyaline, infiltrated with leucocytes, and is attacked by syncytial cell masses. However, sections of different portions of the em- bryo show that its tissues are practically normal, which indi- cates that its death must have been sudden and not gradual. The oldest specimen of this group is No. 261, which must also have been dead for a considerable time. The villi of the placenta have undergone fibrous degeneration and are devoid of syncytium. The cord is twisted, is of normal size, and at its attachment to the placenta is somewhat fibrous. No. 1.] ORIGIN OF HUMAN MONSTERS. 137 Its blood-vessels are filled with blood. The decidua is com- posed of large sinuses, which are well filled with round cells. At this place it may be well to introduce the description of a specimen (No. 308) which may prove to be of unusual value. In every respect it appeared to be a normal one about 100 days old, but the amniotic cavity was found filled com- pletely with a mass of granular magma which was easily brushed aside to expose the embryo. The umbilical cord was found wrapped around both of the arms like a pair of shoul- der braces, as the figure shows. Sections from the middle of placenta, at the point of the attachment of the cord, show that there is a muco-purulent mass between its villi, which contain many fragmented nuclei. It may be that the poisonous condition of the uterus stimu- lated the embryo unduly, which in its gyrations got well wrapped up in its own cord. This naturally affected its nutri- tion, the first sign of which is the presence of granular magma. Had it not been aborted it would probably have ended like some of the others just described. In numerous younger embryos a destruction of the brain and cord were noticed, and in a few of them the brain was extruding from the head. Yet all these changes were by far too severe to end in anencephalic monsters at full term. In nearly all of these specimens the changes in the central nervous system followed the cessation of the heart beat, and naturally such embryos could not continue their development; at best they formed moles. At any rate, the changes in these embryos show in a most radical way the reactions of the various tissues when the circulation is gradually stopped. However, development cannot continue long if the infec- tion of the chorion is severe, and, therefore, we find but few older specimens of pathological embryos in a relatively large collection. Usually these appear to be uninteresting, are mis- placed or are thrown away. This has not been the case with my collection, and in it there are but few older pathological embryos. If a variety of merosomatous monsters are due to endometritis, we should expect to find them in diminished 138 MALL. [Vov. XIX. number as pregnancy proceeds, for it is likely that changes which arrest the circulation in the embryo, or feetus, will soon end in abortion. Therefore it is to be expected that a small number of pathological embryos develop into well- formed monsters. In specimen No. 293 we have, however, conditions which might end in a typical spina bifida, for the tissues over the spinal cord are infiltrated with embryo’s blood and are being destroyed. The epidermis is intact. Had this embryo not been aborted the injury in it is sufficient to permit of an irregular growth of the cord to form spina bifida occulta. In specimens Nos. 201 and 226 the changes in the central nervous system are very pronounced, and had they not been quite so severe it is easy to imagine their growth, at full term, into a cyclops foetus in the first case and into anencephalus in the second case. Specimen No. 295 has in it changes which, if extended, could affect the cerebrum, and I am inclined to the belief that most cases of anencephaly begin in these later stages rather than in very young ones, for if they did not how could a relatively normal base of the skull develop in them? In this foetus correlated development has given form to all the bones of the skull, and the proportion of those of the base would not change very much in case the vault and brain were destroyed, as is found in typical anencephalic monsters at birth. Questions like these are open to investigation and will give us the key by which we may determine at what time in development anencephaly begins, or whether the time is at all constant. LAID 1 DESCRIPTION OF THE SPECIMENS AND THE FIGURES. The description of each specimen is complete in itself, giving its main data, which were obtained from my note- books as well as from the specimens and their sections. Their numbers correspond with those in my catalogue. The measurements of the embryo are as follows: C.R., crown-rump or sitting height; C.H., crown-heel or standing height; and A./., neck rump or length of the spinal column. These specimens, with others which I am collecting, will be deposited in the Wistar Institute, where they may be studied by investigators interested in teratology. DESCRIPTION OF THE SPECIMENS AND. FIGURES. ; No. 6. Ovum, 40 mm. in diameter; embryo, C. R., 24 mm. From Dr. C. O. Miller, Baltimore, October 27, 1892. This specimen was obtained through the kindness of Dr. C. O. Miller, from whom the excellent specimen, No. 2, was secured some time before. (See JOURNAL oF MORPHOLOGY, Vol. 5, p. 459.) Both specimens’were removed from the Fic. 6a.—Reconstruction of the body of the embryo. % 8 times. I-12, dorsal ganglia; SC, suprarenal body; S, stomach; C, cecum; VW, Wolffian body; K, kidney; L, liver. 142 MALL. [Vor. XIX. uterus by self-inflicted mechanical abortions, which the woman was in the habit of performing upon herself and which finally caused her death. Dr. Miller informs me that when he was Fic. 6b.—Diagram of the lower part of the spinal cord through the vesicle protruding from its ventral side. S°, fifth coccygeal nerve with its ganglion. called to visit his patient she was bleeding profusely and he had considerable difficulty in removing this embryo and its membranes. In so doing the ovum was ruptured, but it still Fic. 6c—Section through the upper part of the vesicle, shown in Fig. b. V, vesicle; C, cartilages at the tip of the spinal column, the last being double. retained a sufficient quantity of fluid to protect the embryo. The time of the abortion was 77 days after the beginning of the last menstrual period. The entire membrane and embryo No. 1.] ORIGIN OF HUMAN MONSTERS. 143 were placed in 95 per cent alcohol one and one-half hours after the abortion. The above history makes it highly probable that the embryo is normal, as does also its reconstruction. However, at the tip of the tail there is a small vesicle which cannot be consid- ered normal. It is lined with a single layer of cylindrical cells, much like that of the central canal, is covered in part with round cells identical with those of the cord, and has on either side of it a spinal nerve, as shown in the diagram and the drawings. Fic. 6d.—Section through the vesicle, ’, nearer the tail with a ventral, motor, nerve root on either side. No. 10. Embryo, C. R., 20 mm. From Dr. W. S. Miller, Worcester, Mass. At first I believed the embryo to be normal, but after it had been cut into sections 20 microns thick, and the entire body reconstructed from them, it was found that the abdominal viscera were clumsy in shape and that the liver protruded into the umbilical cord. A comparison of the picture of the re- construction of the body of this embryo with those of both older and younger specimens will show that the body of the embryo is markedly distorted and that there is hernia of the liver. 144 MALL. [Vor. XTX. re, Ss Fic. 10.—Reconstruction of the embryo. X 8 times. L, liver; S, stomach; W, Wolffian body; SC, suprarenal body. No. 11. Ovum, 10 x 7 mm.; umbilical vesicle, 1.5 x I mm.; “em- bryo,” .8 mm. From Dr. Kittridge, Nashua, N. H., March 16, 1893. This specimen was sent me by mail in an ordinary 4-oz. bottle filled completely with alcohol. Dr. Kittridge has pro- cured for me the following history: “The woman, from whom the specimen was obtained, is twenty-five years old, men- struates regularly every four weeks, the periods lasting from No. 1.] ORIGIN OF HUMAN MONSTERS. 145 Fic. 11a—Photograph of the entire ovum. Natural size. four to five days. She gave birth to a child September 19, 1892, and had the first recurrence of menstruation December 19. The second period followed on January 25, and was very profuse; it lasted until February 1. The next period should have begun about February 22, but on account of its lapsing Fic. 11b—Diagrammatic section of half the ovum with the embryonic mass attached. XX 10 times. The villi are drawing only upon the upper quarter of the chorion. Ec, ectoderm; en, entoderm; uv, um- bilical vesicle; mes, mesodern; coe, ccelom; all, allantois; a, amnion. the patient concluded that she was pregnant, and called at my office a few days later. I did not examine her, but asked her to remain quiet and await developments, as I thought possibly that she might be pregnant. On the evening of March 1 she fell and sprained herself, and during the same night had a 146 MALT [Vou XIX. scanty flow. The flow recurred each day, and on the 7th of March she passed the ovum. It was kept in a cool, moist cloth for twenty hours, and when it came into my hands was at once placed in a large quantity of 60 per cent alcohol.” The ovum is very large for its age, having a long diameter of 10 mm. and a short diameter of 7 mm. It is covered with villi only around its greatest circumference, having two spots without villi, as was the case with Reichert’s ovum. The villi of the chorion are from 0.5 to 0.7 mm. long, are branched and are somewhat fibrous in structure. Upon opening the chorion it was found that the embryonic vesicle is situated just opposite the edge of the zone of villi. Fic. t1c.—Section through the umbilical vesicle and its invagination of specimen. > 50 times. The three layers correspond with the ecto- derm, mesoderm and entoderm. The invagination marks the cavity of the amnion. About it there is a considerable quantity of magma reticulé, which I did not remove, and therefore could not obtain good camera drawings. The portion of the chorion to which the vesicle is attached was cut out and stained with alum cochineal and cleared in oil, but even after this treatment it was impos- sible to obtain any clear picture. The specimen was next imbedded in paraffin and cut into sections 10 microns thick. The series proved to be perfect. From the sections a recon- struction was made in wax. . The dimensions of the different portions of the vesicle are as follows: No. 1.] ORIGIN OF HUMAN MONSTERS. 147 Diameter of stem $a ae eee a NSA 0.4. mm. Wengthet Stent. a) ase wee eee OAs; Lengtheofovesicle. va. soit aan ame is ear Widthmotevesicle ;2 wt aaa sees 10 Speke Lencile of invarination= 450.06 aa Oar: Widihroteinvacination <¢ 2ifiess ae ee OnGig o+ Diameter of opening of invagination.... 0.03 “ The sections and reconstruction show that the embryonic vesicle is attached to the chorion by means of a stem. The greater part of the vesicle itself is composed of two layers. ectoderm and mesoderm. In the neighborhood of the em- Fic. 11d.—Section through the stem uniting the umbilical vesicle with the chorion. X 50 times. The cavity within the stem lined with epithelium is the allantois. bryonic stem there is a third outer layer which shows all of the characteristics of the ectoderm. Just beside the attach- ment of the vesicle to the stem there is a sharp, deep and narrow invagination of all three embryonic membranes. Within the stem there is a sharply defined allantois which communicates with the cavity of the vesicle just below the cavity of the ectoderm. The ectodermal plate of the invagi- nation is very broad but not of equal thickness throughout its whole extent. It extends to the outside of the vesicle and ends quite abruptly in the neighborhood of the stem. The blood-vessels of the mesodermal layer extend to the stem but do not enter it, nor are there any blood-vessels in the chorion. 10 148 MALL. [VoL. XIX. Since the first publication of this specimen, embryos both normal and pathological have been studied, all of which indi- cate more and more that this specimen must belong to the pathological class. The other pathological specimens in my collection as well as the perfect normal specimen described recently by Peters all speak for this conclusion. Yet the presence of all three blastodermic membranes in it, with blood islands in the mesoderm, and an allantois in the embryonic stem, indicate that this specimen cannot be far from the normal, but represents the earliest changes in the blastodermic membranes in a specimen of the Peters’ stage under path- ological conditions. Fic. 12a—Photograph of the entire ovum. Natural size. No. 12. Ovum, 20 20.10m. embryo.cC oho 2s neni. From Dr. Ellis, Elkton, Md. “The patient from whom the ovum was obtained is twenty- three years old, menstruated first in her fourteenth and mar- ried in her twentieth year. Some time after her marriage she became pregnant and aborted July 6, 1893, having passed two periods at that time. The next time she became preg- nant she aborted this specimen. She was last unwell Novem- ber 7, the flow lasting five days, and she aborted on the 18th of December, that is, I found the ovum in the discharges of that day, although the waiting began the day before. The patient says it has always been her habit to go more than twenty-eight days, her periods recurring on the thirtieth day usually, but frequently the intervals are longer, thus: She was unwell on October 5 and on November 7 and in Sep- No. 1.] ORIGIN OF HUMAN MONSTERS. 149 tember she went a week over her time. The patient is an intelligent and truthful person and you can rely on her state- ments.”’ The ovum appears to be perfect and normal, being covered with the normal number of villi. The embryo within ap- peared normal and of the two weeks’ stage. In reflecting over the specimen, I have concluded that its brain is too small, Fic. 12b.—Diagrammatic reconstruction of half the ovum with the embryo attached. % 10 times. The villi are drawn upon the upper half of the diagram only. Coe, ceelom; uv, umbilical vesicle; all, allantois; mp, medullary plate. the central canal too wide open, and the optic vesicles too atrophic to be normal. The spinal cord is also too wide open behind. The embryo could be viewed as normal with the ex- ception of the spina bifida in the lower part of the cord and the anencephaly in the anterior. 150 MALL. [Vor.ux Ux 1 Oo Fic. 12c.—From a reconstruction in wax. X 40 times. Cs, eighth cervical myotome; OV, optic vesicle; AV, auditory vesicle; H, heart; VOM, yolk vein; P, ccelom; UV’, umbilical vesicle; Os, third occipital myo- tome; All, allantois; Am, amnion. : Fic. 12d.—View of the embryo to show the open spinal cord below and the atrophic head with large neuropore. No. 1.] ORIGIN OF HUMAN MONSTERS. 151 Sections of the chorion indicate also that it is practically normal with the exception of some fibrinous masses between the villi. Otherwise there is no indication of a change in the structures of the villi nor in the syncytium. It is certainly possible that all of these slight changes took place during the twenty-four hours before the abortion, while the uterus was making ready to expel the ovum. No. 13. Ovum, 8 x 7 mm.; vesicle within, I.4 x .85 mm. From Professor His, Leipzig. This embryo is the well-known specimen No. 44 of the His collection. (See Anatomie mensch. Embryonen, IH, pp. 32 and 87.) The ovum is not completely covered with villi. Fic. 13a.—Section through the umbilical vesicle and chorion of specimen No. 13, His’s No. 44. Blood corpuscles are seen within the cavity of the vesicle. > 30 times. Within there is a small double vesicle which appears to be the amnion lying upon the umbilical vesicle. Attached to the denser (umbilical) vesicle there are numerous fibrils which extend throughout the entire ccelom. This specimen promised to be, at the time Professor His described it, the valuable early stage sought for by all em- bryologists, but unfortunately the sections prove it to be path- ological. The great quantity of fibrils, magma _ reticulé, within the coelom already indicated that the embryo is not normal. 152 MALL. [Vou. XIX. Fic. 13b.—Section through the amnion, jugular veins, umbilical vesicle and chorion. XX 30 times. Fic. 13¢.—Section through the umbilical vesicle as it joins the chorion. x 30 times. The large irregular space in the chorion is a blood space which communicates with the veins of the embryo. Fic. 13d.—Embryonic vesicle ‘attached to the chorion. * 20 times. After His. No. 1.] ORIGIN OF HUMAN .MONSTERS. 153 The sections show that there is a double embryonic vesicle composed of the amnion and umbilical vesicle, the walls of which are thickened and fibrous, with the embryonic layers but poorly defined. The tissues of the vesicle and its cavity are well filled with migrating cells. The chorion is also fibrous, with blood-vessels and migrating cells extending into the villi. The syncytial layer is not extensive. No. 14. Chorion, 30 mm. in diameter; within them is a small double vesicle with a short pedicle 1.5 mm. in diameter. From Dr. Friedenwald, Baltimore, 1893. Fics. 14a and 14b.—Sections through the nodule (vesicle) of the specimen. 25 times. A few blood islands as well as an enclosed mass of syn- cytium are within the stem, 154 MALL. HL WAoiEs 2S. The mesodermal layer of the chorion is thin and decidedly fibrous with but few cells scattered through it. There are no villi. There are groups of cells in the chorion, at the base of the embryonic vesicle, which are probably islands of syn- cytium inclosed within it. The walls of the vesicle are thick and fibrous with no blood island within them. It is covered with a single layer of epithelial cells which have fallen off at points. Scattered throughout the mesoderm there are numerous migrating cells. At the base of the vesicles there are a few blood spaces with blood cells within them. The vesicle is lined with a single layer of epithelial cells. At the base of the larger vesicle there is a large closed space lined with spindle cells. A similar space lies imme- diately below the smaller vesicle. No. 20. Chorion, 20: £46 mm: From Dr. J. W. Williams, Baltimore, February 14, 1894. From the exterior, the ovum appears to be normal with well developed villi of the chorion. Within the ccelom, how- ever, there is a great quantity of magma, within which were buried several nodules. These were removed and sectioned. Fic. 20a. Fic. 2ob. Fic. 20a.—Exterior of ovum, showing long irregular villi. Natural size. Fic. 20b.—Inside view of chorion, showing strands of magma reticulé. Sections show that there is no amnion lining the chorion and that the small nodules are only small masses of magma which contain no cells. The villi are normal in form with the usual quantity of syncytium upon them. At isolated points between the villi there are small masses of a granular substance which look like coagulated albumin. No. 1.] ORIGIN OF HUMAN MONSTERS. 155 No. 21. Chorion, I2 x 9 x 5 mm.; vesicle within, 5.5 x 3.5 mm. From Dr. Cullen, London, Canada, January, 1896. The fresh specimen, still inclosed within the decidua, was hardened in a large quantity of formalin and sent by express in the same fluid. Fic, 21a.—Ovum covered with long irregular villi. Slightly enlarged. From the external appearance, the ovum is apparently normal, with well-developed villi branching a number of times. Upon opening the specimen it was found that the ceelom is filled with a small quantity of magma reticulé, within which is embedded a very large transparent vesicle. Fic. 21b.—Interior of chorion, showing magma and vesicle. > 5 times. This, with its attachment to the chorion, was removed and cut into serial sections 20 microns thick. The main vesicle is brought in contact with the chorion by means of a small secondary vesicle; both are inclosed with a layer of mesoderm within which are numerous blood islands 156 MALL. [Vov. XIX. The smaller vesicle is lined with a layer of large spindle- shaped cells. Migrating cells are within the cavities of both vesicles, and are also scattered throughout the surrounding magma. There are no blood-vessels in the chorion. The syncytial layer is diminished, but is well formed upon the tips of the villi. Here it often accumulates in layers, forming peculiar strata. Fic. 21c.—Section through the vesicle and chorion. X 25 times. The second vesicle between the larger one and the chorion appears to be the stem with a dilated allantois, although it is not attached to the chorion. No. 24. Chorion, 21 x 16x 5 mm. From Dr€, OO) Milles Baltimore. The ovum was covered completely with villi which branch a number of times. Upon opening the specimen it was found that the coelom was filled completely with magma reticulé of moderate density. No trace of an embryo could be found. From time to time I made renewed search and finally decided to cut the entire specimen into sections. After staining it with cochineal a small nodule became visible when the speci- men was placed in direct sunlight. This, with a piece of chorion upon which it lay, was cut into serial sections 20 microns thick. The walls of the vesicle are composed of three layers, the outer being greatly thickened at points, but retains sharp No 1.] ORIGIN OF HUMAN MONSTERS. 157 Fic. 24a.—Section through the vesicle attached to the chorion. X 25 times. There is a multiple allantois and multiple amnion with a thick layer of epithelium over the vesicle. Fic. 24c.—A still deeper section of the vesicle, showing the irregular thickening of the ectoderm and entoderm. 158 MALL. [Vov. XIX. borders. The mesoderm is hypertrophic. The inner layer is irregular, thick and thin, with a tubular branching process which extends to the stem of the vesicle. There are blood islands in the vesicle and stalk, and the vessels extend to the villi of the chorion. There are migrating cells in the tissue of the pedicle. The syncytial layer is very extensive, forming large buds upon the chorion as well as upon the villi. At points these buds coalesce to form islands, the centers of which are com- posed of necrotic mass filled with fragmented nuclei. No. 25. Chorion, 25 mm. in diameter, with a pedicle within 6 mm. long and 2 mm. in diameter. Dr. J. W. Lord, Baltimore. The ovum is covered entirely with long villi, and has a hemorrhage on one side of it. The pedicle within has all of the characteristics of the umbilical cord of an embryo five weeks old. There is no trace of an embryo, but there are a Fic. 25.—Section through the umbilical cord and amnion at their attach- ment to the chorion. X Io times. number of cells at the free end of the pedicle, which also has a ragged edge. The amnion lines the entire ccelom and is reflected over the pedicle just as it would be over the normal cord. Sections show that the club-shaped cylindrical body is in fact the cord with its blood-vessels and amnion. The free end of the cord is rich in round cells, appearing much like the granulation tissue of healing wounds. At this point the end No. 1.] ORIGIN OF HUMAN MONSTERS. 159 of the cord is infiltrated with cells, in addition to the nu- cleated cells of the cord, and it has very ragged edges. It appears as if the embryo had gradually fallen off, piece by piece, leaving the ragged stump of a cord. The blood-vessels of the cord are but sparsely filled with blood. At the base of the cord there is a remnant of the umbilical duct. Apparently the chorion is normal. No. 29. Chorion, 30 mm. in diameter. Dr. W. D. Booker, Baltimore. The ovum is covered with but few atrophic villi, and within no trace of an embryo can be found. The ccelom is filled with a cheesy mass or granular magma, like that usually found within the amnion of pathological embryos. After the magnia had been searched through most completely, the portions of the chorion which might have a remnant of an embryo at- tached were stained and cut into serial sections, but nothing whatever could be found. Sections of the chorion show that its walls and villi are fibrous and thickened. There is no amnion present. The syn- cytial layer is very extensive over the villi and chorion, in- vading them at points. Immediately over the syncytium of the villi, and occasionally between them, there is a gelatinous envelope, which at times appears fibrinous. Within this en- velope there are many leucocytes with fragmented nuclei. No. 30. Embryo, C. R., 60 mm. From Dr. Snively, Waynesboro, Pa. The woman from whom it was obtained is colored, and — menstruated last from April 5 to 12. On June 19 she had her first pains, which continued until the 21st, when the abor- tion occurred, i. ¢., 77 days after the beginning of the last period. The specimen is apparently normal with the exception of a hernia of the liver into the umbilical cord. The communica- 160 MALL. [Vov. XIX. tion between the ccelom of the cord and the peritoneal cavity is much too large for this stage and the liver protrudes into the cord fully 5 mm. No. 32. Ovum, 30 mm. in diameter, within a pedicle 9 x 2 mm. From Dr. W. D. Booker, Baltimore. “Mrs. N., colored. Last menstruation began December 26, ~ 1893, and lasted 4 days, the usual duration being from 4 to 5 days. Cohabitation with husband December 12 and January Fic. 32a—Section through the cord and the amnion at its attachment to the chorion. > Io times. 9. Hemorrhage began March 14 and continued until the 8th, when the abortion took place. The entire ovum was placed in 80 per cent alcohol one hour after the abortion.” The time between the beginning of the last period and the abortion is 82 days. Fic. 32b.—Section through the attachment of the umbilical cord to the chorion. X 10 times. No. 1.] ORIGIN OF HUMAN MONSTERS. 161 Upon opening the ovum I found within it a large pedicle, g xX 2 mm., which had every appearance of the normal um- bilical cord.of an embryo, 25 mm. long. The age of this ovum when estimated by the menstrual history calls for a cord of this size, but the chorion is undersized. At any rate, we have a cord without an embryo. At the point at which the cord should be attached to the body there is a mass of - cells, making it appear as if the embryo ulcerated away. At this point the blood-vessels are greatly distended with em- bryo’s blood, which also permeates the surrounding tissues. Within the cord there is a large space, the ccelom, as well as a reticular space, as is shown in Figs 32a and b. The mesoderm of the chorion and villi is fibrous. No. 37. Chorion, 25 x 18 x 15 mm., within a small nodule 2 mim. in diameter. From Dr. G. M. Gould, Philadelphia. The entire ovum is covered with villi which appear normal in form, both to the naked eye and under the microscope. The specimen was macerated considerably, but the thick sections I made of it are extremely instructive. The em- bryonic mass within proved to be an atrophic cord, embryo Fic. 37a.—Photograph of the entire ovum. Natural size. and umbilical vesicle, as shown in Figs. 37b, c and d. The cord with its blood-vessels passes directly over into the head end of the embryo, which contains but a rudimentary nervous 162 MALL. [VoL. XIX. Fic. 37b.—Section through the head, umbilical vesicle and chorion. The pharynx and first aortic arches are cut across in the head. XX I0 times. Fic. 37¢.—Section through the umbilical cord, vesicle and the chorion. >< 10 times. Fic. 37d.—Section through the attachment of the umbilical cord and vesicle to the chorion. > Io times. No. 1.] ORIGIN OF HUMAN MONSTERS. 163 system. The mesodermal tissues are characteristic and the form of the pharynx and lower jaw is recognizable. From this region the two branchial arteries pass into the cord, as the figures show. A single vein, however, passes from the cord directly into the center of the body and ends just below the lower jaw. There is no heart, liver, myotomes, nor lower end of the body, these being replaced by the cord. The ar- teries are empty and the vein is distended with blood. No. 54. Embryo, C. R., 11 mm. From Dr. McMorris, Belle Plaine, Iowa. The embryo alone was given me. It shows an atrophic head, but otherwise appears like a normal embryo of 4% weeks. In the sections it is seen that the central nervous system is solid with the exception of the mid-brain, whose ventricle still communicates with the exterior of the body through an open neuropore. The head is atrophic. The vertebra are well developed. The liver is large; the heart, other organs and ceelom are difficult to outline. No. 55. Ovum, 35 x 20 x 14 mm. From Dr. Watson, Baltimore. Last period January 18 to 22, abortion March 13, 1894. The specimen is a very solid fleshy mass, which contains a sharply defined spherical cavity, 15 mm. in diameter, with smooth walls. Absolutely no trace of an embryo found within this cavity. Blocks of the tissue were imbedded in celloidin and some sections were cut. The sharply defined cavity proved to be the ccelom, as its walls were formed by the chorion. The thick fleshy mass proved to be villi of the chorion, syncytium, blood, fibrin and pus. The walls of the chorion contain remnants of blood-vessels, are partly invaded by leucocytes and are fibrous. The main bulk of the villi and syncytium stains poorly and 11 164 MALL. [Vour. XIX. appears necrotic. The mesoderm is fibrous, more or less invaded by leucocytes and covered in part with a very active syncytium. The cavity of the ccelom is partly filled with a granular magma, in which are imbedded some cells. No. 58. Ovum, 20 x 18 x 12. From Dr. Howard, Cleveland, Ohio. “The specimen is from the first pregnancy of a woman who has been married for one year. The duration of the men- strual periods is usually from 3 to 4 days, the last one having ended July 25. The August and September periods were passed, and September 30 she had a hemorrhage which she believed to be the usual menstruation; this ended October 1 Fic. 58a.—Photograph of the ovum with the piece to which the vesicle is attached cut out and turned over. with the abortion of the ovum. The time between the begin- ning of the last period and the abortion is 71 days. Cohabi- tation July 25 to August 5 and again on August 15, or sev- , eral days before the first lapsed period.” The ovum is only partly covered with villi and is filled with a jelly-like mass of magma. Floating within this mass there io: I] ORIGIN OF HUMAN MONSTERS. 165 is a large vesicle, 6 mm. in diameter, with transparent walls. This vesicle in turn is partly filled with a granular deposit. The syncytium is excessive. The mesoderm of chorion and inclosed vesicle is very fibrous. There are blood islands and << aay VW 43 Sa Fic. 58b. Fic. 58c Fic. 58b.—Sections through the vesicle at its attachment on the chorion. X 10 times. Within the stem there is a sharply defined cavity lined with epithelium and an hour-glass-like space filled with blood. On one side the stem is covered with epithelium. Fic. 58c.—The cavity of the stem, shown in Fig. 58b, enlarged 50 times. a cavity lined with epithelium in the stem of the vesicle. The main portion of the vesicle is composed of two layers, but near the stem there are three layers present. The mesoderm of the villi is hyaline and cedematous, and between them there is a stringy mass of mucus or fibrin rich in leucocytes. 166 MALL. [Von. XIX. No. 60. Embryo, C. R., 8 mm. Dr. Dobbin, Baltimore. The body and extremities of the embryo appear normal in form. The tissues are considerably macerated and may be normal. The spinal cord is solid. There are large islands of blood cells in the liver. No. 69. Ovum, 70'X 40° x 20) mums embiyonCe he 13: Dr. Chabot, Baltimore. The chorion is smooth, not being covered with villi. The head of the embryo is atrophic and club-shaped and the body is fairly plump. The arms are well developed, of the five- weeks stage, and appear normal. The central nervous system is distended and the brain is macerated. The outline of the organs and of the peritoneal Ftc. 69.—Photograph of the embryo attached to the chorion. Natural size. cavity is not distinct, and the entire body is filled with migrat- ing cells. The main bundles of nerves are filled with spindle- shaped cells, making them look like the nerves of amphibian embryos. The epidermis is hypertrophied and at many points forms papilla. The embryo end of the umbilical cord is atrophic, invaded by migrating cells, and its blood-vessels are greatly distended. The whole chorion and part of the cord have undergone fibrous degeneration. No. 1.] ORIGIN OF HUMAN MONSTERS. 167 No. 70. Mole, 45 x 30 x 28. Dr. Ellis, Elkton, Md. “The specimen is from a woman whose periods were reg- ular until July 28, 1896, when she passed her period. In October she had a profuse hemorrhage, and on the 2oth, aborted, the time between the beginning of the last period and the abortion being 113 days.” Fic. 70—Photograph of the cut surface of the mole. Reduced one-half. The specimen, as the figure shows, is very solid, and sections proved it to be composed of a mass of distended chorionic villi, forming an hydatidiform mole. Between the villi there is a large quantity of blood with an extensive syncytium which forms a large solid mass on one side of the specimen. Within the center of the specimen there is a small collapsed chorion with poorly defined walls. The specimen was not cut into serial sections, so it is impossible to state definitely whether or not the embryo has been destroyed entirely. No. 71. Ovum; To: x Qo %°5 mm. Dr. G. H. Whitcomb, Greenwich, N. Y. Dr. Whitcomb writes me: ‘The specimen is from a woman twenty-three years old who had been married three months before the abortion occurred. She had been troubled with chronic cystitis and endometritis but menstruated regularly. After marriage she had two menstrual periods, but the third failing to appear she concluded that she was pregnant. Seven days after the lapsed period she slipped while descending the 168 MALL. [VoL. XIX. stairs, and this was followed with some tenesmus. Four days later I examined her and found a free flow of unstained mucus from the uterus, with tenderness, hypereemia of the pelvic organs and irregular pains. I requested a specimen of urine, which was given me on the following day. It was found loaded with pus and blood, and also contained the ovum. Two days later the decidua was discharged. The specimen was preserved in 50 per cent alcohol. Shortly after this the woman became pregnant again, which went on to full term.” The abortion from the above data took place 40 days after the beginning of the last menstrual period. When the ovum came into my hands, three years later, it was well preserved > Fic. 71.—Photograph of the ovum. Enlarged 2 diameters. and had not been opened. The villi are well developed and even, but slightly deficient on one side. I cut the specimen in half around its greatest circumference and then stained the two halves. Within there was a small amount of magma reticulé and at the bottom of one of the shells of chorion there was found a very small nodule. Otherwise there is nothing within the ovum. The nodule was imbedded and cut into sections 20 microns thick. The syncytium and the chorion appear normal. There are no blood-vessels. The nodule within the chorion is a solid mass which appears in structure like dried red blood corpuscles of the frog. No. 77. Ovum, 70 x 40 x 30 mim. Dr. Horn, Baltimore. The fresh specimen was sent to the laboratory and it was immediately preserved in strong alcohol. After it was hard- No. 1.] ORIGIN OF HUMAN MONSTERS. 169 B, blood; Fic. 77b.—Section of one of the villi. Enlarged 160 times. S, syncytium, small cells of which are scattered throughout the mesoderm. 170 _ MALL. [Vov. XIX. ened it was found to be of firm consistency and of a very red color, indicating that it must be pathological. Later, when it was cut in half, there was found within it a spherical cavity, 20 mim. in diameter, lined with a smooth, fibrous membrane and filled with a clear fluid which permitted of a careful in- spection of its interior. On one side of the cavity there was a small elevation, one millimeter in diameter and one-fourth of a millimeter high. Sections were made of the walls of the specimen through the elevation which proved to be a fibrous thickening of the amnion at its junction with the chorion. There are no blood- vessels in any portion of the chorion. Between the villi there is a great quantity of syncytium, fresh blood and fragmented leucocytes. At many points the syncytium and leucocytes invade the chorion and the villi with the apparent intention of destroying them. Where fresh blood and syncytium come in contact there are many fragmented leucocytes present. No. 78. Ovum, 36 x 33 x 13 mm.; nodule within, 14.6 mm. Dr. A. P. Stoner, Harlan, Iowa. “The woman from whom the specimen was obtained men- struated last on December 1, 1896, and the abortion took place on February 26, 1897. The sac was perfectly smooth when it was passed, and, without opening, it was placed in 50 per cent alcohol. After the abortion two or three pieces of Fic. 78a.—Photograph of ovum with piece of chorion and nodule lying on top of it. Natural size. No. 1.] ORIGIN OF HUMAN MONSTERS. 171 Fic. 78b. Fic. 78c. Fic. 78d. Fics. 78b, 78c, and 78d.—The sections through the vesicle and chorion. x 10 times. Blood is within the cavity of the vesicle. The stem is partly covered with epithelium and there is a double amnion, shown in Fig. 78b. decidua and placenta were passed, weighing together about 30 grams, the right quantity, it seemed, for a ten-weeks ovum. The woman’s husband has been absent for over ten weeks, thus making the specimen at least that old. It appears as if there had been an arrest of development of the embryo and that the membranes continued to grow.” When the specimen came into my hands the walls of the chorion were perfectly smooth without any villi whatever. It was filled with a clear fluid and within there is attached a small double vesicle, measuring 1 x .6 mm. This was im- bedded and cut into serial sections. The chorion is atrophic and has no villi upon it. The nodule within is covered with a single layer of epithelial cells which becomes thickened over the pedicle. At one point the thickening is greatly increased and immediately below it there are two small vesicles lined with epithelial cells. The main cavity of the vesicle is lined with a layer of cubical cells, and is filled with a considerable quantity of round cells. This cavity is hour-glass shaped and extends to the walls of the chorion, as the figures show. The mesoderm of the vesicle 172 MALL. [Vor. XIX. is increased in quantity and is filled with wandering cells. At the base of the vesicle there are several blood spaces filled with blood. No. 79. Ovum, 50 x 50 x 50 mm. >embrye, (Cri, 42 smite Dr. Briggs, BlackvillesseG: Dr. Briggs writes that the abortion took place 91 days after the beginning of the last menstrual period. The specimen came into my hands well hardened in strong alcohol with all of the membranes intact. When opened it was found that the inner walls of the amnion and the embryo were entirely covered with a layer of firmly coagulated gran- ular substance or granular magma. Fic. 79—Photograph of ovum cut open, showing the embryo encrusted in granular magma. Natural size. The chorion is very hemorrhagic and thick on one side, while on the other it is very thin. The sections show appar- ently normal structures in the thick portion, while in the thin portion there is an extensive leucocytic infiltration. At this latter point the walls of the chorion are markedly changed, being invaded by the syncytium as well as by leucocytes. Serial sections of the embryo show that it must have been strangulated before the abortion took place. The central No. 1.] ORIGIN OF HUMAN MONSTERS. 173 nervous: system is greatly macerated, the liver has disinte- grated and the aorta is greatly distended. The rest of the embryo appears normal. The intestine is almost entirely within the peritoneal cavity; a single loop of it still remains in the opening communicating with the ccelom of the cord. The embryo is completely covered with a layer of magma which contains but few cells in it. Below this the épidermis is wanting at many points, while at other points it appears normal. At the edge of the epidermis there is every appear- ance of an attempted regeneration, as its border is thickened and has rounded and not ragged edges. No. 80. Oyun, 240% 18x16 mim; embryo, C. R.. 4 mn Dr. Branham, Baltimore. Embryo and ovum are apparently normal, with the excep- tion of a mass attached to the ovum, which proved to be diverticulum, its cavity communicating with the main ccelom. The lower part of the embryo is bent upon itself. The whole ovum had been preserved without opening it. Some magma reticulé is within the ccelom. Fic. 80a.—Photograph of the ovum and embryo. Enlarged twice. The small additional mass forms a diverticulum of the ovum, the cavity of which communicates with the exoccelom through a narrow open- ing. The tail of the embryo is twisted. 174 MALL. [VoL. XIX. Fic. 80b.—Section through the tips of the villi, including the surrounding syncytium. S, syncytium; NS, necrotic syncytium; VY, villus. En- larged 62 times. = 22 sa ¢' Ay Bs iF wr. < Shai: oe SSS eS Wes 3335 >. > . _> as is = ~ ee : - ims ase 3 iat et Saves “i Sve Peek so Fic. 80c.—Section showing the mucoid mass, M, rich in leucocytes and containing a nest of syncytium, S. V, villus; Ch, chorion. No. 1.] ORIGIN OF HUMAN MONSTERS. 175 As far as it is possible to determine, the sections indicate that the embryo, cord and yolk sac are normal. The villi of the chorion, however, which are well developed, have a con- siderable quantity of a fibrinous mass between them which is rich in leucocytes. The syncytium is well developed and at the tips of a number of villi it is decidedly necrotic. It may be that these changes are of sufficient importance to account for the abortion. No. 81. Ovum, 65 x 55 x 35 mm; embryo, C. R., 15 mm. Dr. Branham, Baltimore. “The abortion took place just three months after the begin- ning of the last menstrual period.” The unopened ovum had been placed in a large quantity of alcohol, and when it reached the laboratory I cut a window into it to allow the alcohol to enter its cavity. Within an embryo was found, which appears macerated and is broken Fic. 81a—Photograph of the whole ovum. Slightly reduced. in its middle. The crest of necrotic tissue on the head of the embryo, the stumpy leg, the distended cord and atrophic chorion, all indicate that it is pathological. Two parts of the embryo were cut into serial sections and different portions of the chorion were also examined. 176 MALL. [VoL. XIX. Macroscopic as well as microscopic examination of the chorion shows that it has undergone extensive degeneration. Its walls are filled with large islands of blood and at points there is leucocytic infiltration, showing that an inflammatory process had also invaded it. Accompanying the inflammatory process the syncytial layer of cells has invaded the walls of the chorion, thus helping along its destruction. The meso- derm of the chorion has undergone fibrous degeneration and within its walls there are numerous cysts, some lined with flat epithelial cells and some with cylindrical. The amnion ap- pears normal and lines the entire ccelom. Fic. 81b.—Photograph of the embryo within the chorion. The embryo is somewhat atrophic. Its central nervous sys- tem is macerated and there is a marked cyst-like dilatation at the tip end of the spinal cord. All the tissues, including the cartilages, show more or less dissociation. The necrotic crest covering the top of the head gives all the appearance of an ulcer; the ectoderm is destroyed and the mesoderm covering the brain is greatly thickened and pigmented with round cell infiltration of the surrounding tissue. The marked dilatation in the cord encloses double cavities filled with a mucoid re- ticulum, much as in embryo No. 32. This tissue is similar in appearance to the normal notochord in amphibian embryos. No. 1.] ORIGIN OF HUMAN MONSTERS. Ly, No. 82. Solid mole, 75 x 60 x 40 mm. Dr. Cassidy, Baltimore. “Last period began June 3, 1896, and this tumor was passed March 8, 1897, about 40 weeks later.” The specimen was brought to the laboratory fresh and was hardened in formalin. It is pear-shaped, ulcerated on the pointed end and the interior appears to be composed of fresh blood clots. Fic. 82a.—External surface of the mole, slightly reduced. Sections of the large solid mass show that within it there is a collapsed ovum with folds of the chorion extending throughout the specimen. On one side of the specimen there are long slender villi. Most of the layers of the collapsed chorion are composed of double walls, usually in apposition and occasionally completely blended. There is no amnion lining the chorion. Along the main central body of the col- lapsed chorion there are large quantities of fresh blood. The rest of the tumor is composed of old blood clots and nests of leucocytes and of syncytium. The syncytial nests are located in great part along the chorion, show active growth when 178 MALL. [VoL. XIX. Fic. 82b—Cut surface of the tumor, showing large masses of blood between the distorted chorion. Reduced one-third. they come in contact with fresh blood and are necrotic else- where. At no point does the syncytium invade the walls of the chorion. It is impossible to interpret this specimen without admitting that the chorion continued to grow after the ovum had col- lapsed. No. 87. Ovum, 24 x 16'x OQ mm-yembryo;-C.R2,74 mam. Dr. Cole, Peru, Iil. “The last period took place April 15, 1896. On May 15 the woman had a slight flow which repeated itself every few days until the 27th, when the abortion took place. The day before the abortion the woman worked very hard.” The lower end of the embryo looks atrophic and on the opposite side of the ovum there is a vesicle 2.5 mm. in diam- eter. Both the embryo and vesicle with pieces of the adjacent chorion were cut into serial sections. The embryo proved to be a normal specimen about 21 days old, with normal umbilical vesicle and so on. The vesicle on the opposite side of the ccelom appears to be anything but an No. 1.] ORIGIN OF HUMAN MONSTERS. 179 Fic. 87a.—Additional vesicle on the side of the ovum opposite the em- bryo. Enlarged 2 times. umbilical vesicle. It lies free in the cavity of the ccelom im- bedded within the magma, and is in no way torn. It is com- posed of three distinct layers: a thick middle layer, in which are numerous blood islands, an epithelial lining layer, and an outside layer, which does not completely cover the specimen. On one side of the vesicle there is a sharp invagination of all three layers, which projects well into the vesicle. The meso- derm of this: invagination has also within it several blood islands. The chorion is normal in appearance, with blood-vessels entering it from the normal embryo. Fic. 87b. Fie. S7c; Fics. 87b and 87c—Sections through the vesicle and chorion. X 25 times. The deeper portion of the invagination in Fig. 87b is shown cut in cross-section in Fig. 87c. Blood islands may be seen in the mesoderm. 12 180 MALL. [Vou. XIX. No. 93. Solid mass, 40 xX 20 mm. Dr. Cassidy, Baltimore. The specimen was sent to the laboratory fresh and was hardened in formalin. Upon opening it, it was found that within there is a cavity into which projected a large tongue of fleshy tissue. Within this tongue there is a clot of blood as well as a sharply defined cavity. Sections, through different portions of the specimen, showed that the outer sac is the decidua and that the tongue of tissue is the chorion. Within the central cavity of the tongue (ccelom) lies the amnion. I cannot state definitely whether or not the remnants of an embryo were present, for the specimen was not cut into serial sections. The walls of the chorion are thickened and irregular, and around it are packed hypertrophied villi with great quantities of syncytium and blood between them. Covering the villi and syncytium there is a layer of blood and fibrin separating them all from the decidua. Within the mesodermal tissue of the chorionic walls there are occasional islands of syneytium. No. 94. Ovum, 50 x 40 x 30 mm.; embryo, C. R., 20 mm. Dr. Knill, Detroit, Mich. Ovum is smooth with villi on one side of it only. The amnion does not fill the chorion completely ; it measures 30 x 20 mm. Within the amnion there is much coagulated matter which envelops the embryo completely. This granular magma can be picked off easily in large flakes. The embryo thus ex- posed is bent upon itself more than usual and appears mace- rated, as if it had been dead for a number of days. The features are not clear, the tips of the hands and feet not being well defined. The lower part of the embryo is necrotic and the spinal cord is protruding. The entire ovum has been hardened in alcohol. | The sections show that the villi of the chorion are some- what atrophied, with occasional nests of leucocytes within No. 1.] ORIGIN OF HUMAN MONSTERS. 181 Fic. 94.—Embryo partly imbedded in granular magma within the chorion. Natural size. them. The mesoderm of the chorion and amnion show clearly marked fibrous degeneration. The embryo itself is normal in shape, but the brain is greatly dissociated and the liver is cloudy and projects into the cord. All of the epidermis is exfoliated with great masses of migrating cells lying between the embryo and the envelope of magma. No. 97. Ovum, 32°5630 x 15 mm,;-embryo, C. Rip7;-A. R., 9 mm. Dr. Goldman, Baltimore. “Beginning of last menstrual period, March 8, 1897. Abor- tion, May 8. The entire ovum was hardened in 95 per cent alcohol.” The ovum appears normal with the villi distributed equally over it. Upon opening, it was found filled with dense magma reticulé, in which could be discerned the faint outline of a four-weeks embryo. A block of the chorion, including magma and embryo, was cut into serial sections. The form of the embryo, amnion and umbilical vesicle is normal. On one side of the embryo the epidermis is wanting and the amnion is filled with cells. The umbilical vesicle is 182 MALL. [Morsecexe filled with migrating cells, but its blood islands and its ento- derm appear normal. The chorion is fibrous. The outer covering of the vesicle is composed of a short layer of col- umnar epithelial cells. The magma of the ccelom is filled with wandering cells. Fic. 97.—External surface of the chorion. Natural size. The nervous system is greatly dilated and dissociated. The liver tissue is obscured and filled with migrating cells. The contour of the abdominal viscera is obliterated and they are likewise filled with migrating cells. Pharynx, heart, large veins and aorta are greatly dilated. No. 104. Ovum, 35 x 35 x 15 mm.; embryo elongated, 12 mm. long. If curled upon itself it would measure, C. R., about 7 mm. Dr. J.-P West, Bellaires'Ohio: “The beginning of the last menstrual period was on May 7, and the abortion took place on June 11, 1897. The entire ovum was preserved in strong alcohol.” The villi of the chorion appear atrophic, being wanting on one side of the ovum. After the ovum was carefully cut in half it was found filled with magma partly reticular and partly granular. On one side is a snake-like embryo with straight- ened head and atrophic extremities. The embryo, with a piece of chorion to which it is attached, was cut into serial sections. No. 1.] ORIGIN OF HUMAN MONSTERS. 183 Fic. 104.—Photograph of the embryo within the chorion surrounded by magma. Natural size. The main walls of the chorion are fibrous. The amnion is intact. The brain and spinal cord of the embryo are dilated and dissociated,—probably macerated also. The out- lines of the organs and body cavity are obliterated. The boundaries of the liver can no longer be determined. The tissues of the body are generally dissociated and they, with the umbilical cord and magma, are infiltrated with migrating cells. The heart, large veins and aorta are greatly distended with blood. The head is atrophic. No. 110. Ovum, 46 x 30 x 30 mm.; embryo, C. R., 8 mm. Dr. West, Bellaire, Ohio. “The last period of the woman began September 22, 1897, and lasted five days. On December 8 there was a slight flow which continued until the 13th, when the abortion took place. Hardened in alcohol.” The shape of the ovum is oblong and its walls are fleshy, the villi having all disappeared. Within there is a clear fluid with a granular deposit covering the embryo. The embryo is greatly macerated and is but slightly attached to the chorion. At the point of attachment there is an elevated mound of necrotic tissue, to which the embryo is stuck. There is no distinct cord and the amnion is wanting. Evidently both chorion and embryo have been dead for a long time. 184 MALL. [VoLt. XIX. Fic. 110.—Photograph of the embryo within the chorion. Natural size. The chorion is atrophic and the decidua is infiltrated with leucocytes. The amnion, umbilical vesicle and the attach- ment of the umbilical cord to the chorion are completely de- stroyed. The embryo is atrophic, the face not being developed at all. The central nervous system is swollen; the outlines of the viscera and body cavity obliterated and filled with migrating cells. The liver is small. The heart and large blood-vessels are greatly distended. No. 115. Ovum, 30 x 27 x 22 mm.; amnion, Io x 5 x § mm.; embryo, GOR.) 73 mm, Dr. A. S. Atkinson, Baltimore. The abortion took place two months after the beginning of the last period. During the second month of pregnancy there was continuous bleeding. The ovum was brought to the laboratory fresh immediately after the abortion and placed in strong formalin. It was opened at once in formalin and found filled with a gelatinous, transparent mass, which became fibrous after the formalin had acted upon it. Later on alcohol made it opaque. The chorion is practically free of villi and looks necrotic. The embryo is well in the middle of the ovum and is apparently separated from the chorion. The head as well as the tail is atrophic. Sections show that the villi of the chorion are atrophic, with but a small quantity of syncytium attached to them. The No. 1.] ORIGIN OF HUMAN MONSTERS. 185 entire chorion is surrounded with a mass of decidua filled with leucocytes. The magma of the ccelom is very dense and has within it but few migrating cells. Within the greatly distended amnion lies the embryo, looking much like a chick of the third day. The peritoneal cavity communicates freely with the exoccelom, in which hangs an atrophic umbilical vesicle. The lumen of the umibilical vesicle is filled completely with entodermal cells, its Fic. 115a—Embryo imbedded within the magna reticulé of the ccelom. Natural size. Fic. 115b.—Embryo attached to the chorion. 3 times. blood spaces are greatly distended but nearly empty, and its solid stem ends abruptly after it enters the body of the em- bryo. There is no trace of either alimentary canal or liver left. Rudimentary Wolffian bodies and ducts are present. The central nervous system is solid. The heart and large veins are simple in form and greatly distended with blood. The mesodermal layer of the chorion and its villi appear normal, with the exception of the tip ends of the villi, which are enveloped in a mass of leucocytes, 186 MALL. [Vou. XIX. No. 122. Ovum, 20 x 16x 6 mm.; embryo, Cha s5 tum: Dr. J. W. Williams, Baltimore. “Last period began April 19, 1898, and the abortion took place on June 23. Continuous bleeding for eight days before the abortion.” The transparent and fibrous chorion is covered with a few scattered villi of irregular length. The embryo is atrophic with a club head, large heart, stump tail and no limb buds. Fics. 122a and b—Two halves of the ovum, showing ccelom and embryo. xX 2 times. The nervous system is greatly distended and dissociated. The front of the head and the branchial arches are atrophic. The liver is small, the Wolffian body well marked and the body cavity sharply defined. The large veins of the body and of the liver are greatly distended with blood, the aorta being much enlarged and empty. The tissues of the entire embryo are partly filled with loose round cells. The chorion is thin and fibrous. No. 123. Ovum, 17 x 14 mm.; vesicle within, 1.8 x 1.5 x I mm. Dr. H. J. Boldt, New York. “The last menstrual period prior to the abortion occurred August 14 or 15, 1898. Abortion, September 10. The whole ovum was placed in 95 per cent alcohol within 10 minutes after the abortion.” No. 1.] ORIGIN OF HUMAN MONSTERS. 187 The entire ovum was covered with villi, apparently normal, but surrounded by a layer of pus and blood. After opening it I found the ccelom filled with a mass of coagulated fibrin- ous albumin, the magma reticulé, within which no embryo could be seen. ‘The two halves of the ovum were then stained, which brought out prominently a small vesicle imbedded in the magma. This vesicle had a rounded opening upon one side (Fig. a), with a long pedicle upon the other, which ex- tended towards but was not attached to a small mound on the inside of the chorion. Vesicle and chorion were both cut into serial sections. The sections of the vesicle appear as those of the normal umbilical vesicle. The opening on the side is undoubtedly due to a tear, judging by its broken edges. B (e 25 times. Entoderm, meso- derm and blood islands are shown. 188 MALL. [VoL. XIX. No. 124. Ovum, go x 75 x 50 mm.; embryo, C. R., 35 mm. Abor- tion 18 weeks after the beginning of the last menstrual period. Dr. Cassidy, Baltimore. The ovum was brought to the laboratory fresh and then hardened in a strong solution of formalin. It appears as a transparent cyst with a crescent-shaped placenta on one end, measuring 60 x 50 mm. Upon opening it I found within a second sac measuring 50 x 37 x 35 mm., which had tough Fic. 124a—Whole ovum with placenta attached to one side of it. Reduced one-half. fibrous walls and proved to be the amnion. Within this was the embryo, with club hands and feet, pointed ears and a very thin, twisted, umbilical cord. Sections of the placenta show that the villi are matted together and are covered with a thick layer of decidua cells. The entire thickness of villi is infiltrated with leucocytes, which at points are accumulated sufficiently to form small Fic. 124b—Ovum cut open, showing amnion. Reduced one-half. T] Fics. ORIGIN OF HUMAN MONSTERS. 124c, d, e—Three views of the embryo. Natural size. 190 MALL. [VoL. XIX. Fic. 124f.—Section through the hand showing well-formed bone and cellu- lar infiltration of the surrounding structure. Enlarged 17 times. abscesses. The walls of the chorion are considerably thick- ened immediately below the placenta and are fibrous in struc- ture. Between the villi at their bases there is a quantity of fresh blood, and between their distal ends there is a great quantity of syncytium, which does not stain well and appears to be necrotic. Masses of fine granules are seen which stain intensely with hematoxylin, and on account of their uniform size they are probably bacteria. Fic. 124g.—Section through the foot with the phalanges numbered. En- larged 17 diameters. No. 1.] ORIGIN OF HUMAN MONSTERS. 191 Sections of this interesting specimen do not reveal very much, for the tissues do not stain well. The form of the organs and skeleton, with the exception of that of the extremi- ties, appears to be normal. However, the skin appears more fibrous than usual, being somewhat infiltrated with round cells. In the deformed extremities this infiltration is very pronounced and involves all of the structures of the hands and feet with the exception of the cartilages, forming syndactyly. No. 128. Ovum, 50° x 43 mm: embryo; C. IR: 20 mim. Dr. Lupton, Baltimore. The woman from whom this specimen was obtained is eighteen years old and has one child. The first recurring period after the birth of the child was on July 4, 1898; the second period, August 5; and the abortion on October 20. Fic. 128.—Embryo within the amnion and chorion covered with a delicate mass of fibrils and granules. Natural size. After the abortion the entire ovum was placed in water, and 18 hours later was brought to the laboratory. It was a beau- tiful white specimen and I immediately placed it in formalin, in which it was opened at once. The water did not seem to have penetrated the ovum, as the embryo was not at all 192 MALL. [VoL. XIX. swollen and appeared perfectly normal. The formalin, how- ever, at once caused the coagulation of a delicate network of fibrils which enveloped most of the embryo. The sections show a delicate reticulum of fibrils within the amnion. No. 130. Ovum, 15 x 10 x 6 mm; vesicle within, 4 x 3 x I.5 mm. Dr. De Saussure, Charleston, S. C. “The specimen was passed by the patient while urinating, 14 days after the beginning of the last menstrual period. She had no idea that she was pregnant and thought that the specimen was a piece of mucous membrane from the bladder. It was hardened entirely in 50 per cent alcohol.” When the specimen came into my hands it was only half covered with villi, the other half apparently having had them stripped off. There was also a tear in the chorion through which a vesicle was protruding. Upon lifting the ovum this vesicle fell out. The ovum was then carefully cut open and Fic. 130a—Ovum with extruded vesicle. Natural size. was found to contain a considerable quantity of magma re- ticulé. Within this there was a long pedicle, measuring 7 x 2 mm. There was also a space in the magma large enough to hold the vesicle which had escaped. Both ovum and vesicle were cut into serial sections. The serial sections of the ovum show that the amnion is still unbroken, as shown in Figs. b, c, d. Its greatest meas- No. 1.] ORIGIN OF HUMAN MONSTERS. 193 Fic. 130b.—Section through the amnion, cord and remnant of the em- bryo. X 10 times. Fic. 130c.—Section through the amnion, cord and chorion. X 10 times. Fic. 130d.—Section through the attachment of the amnion and cord to the chorion. XX Io times. 194 MALL. [Vor. XIX. urements are 10 x 4 mm., into which extends the umbilical cord. At the end of the cord there is a mass of tissue mostly broken down, the remains of the embryo. This mass is ragged, without any form corresponding to an embryo, and had the amnion been torn no doubt it would have fallen out. The blood-vessels of the cord are gorged with nucleated blood cells, but they do not extend into the embryo. The chorion is normal in appearance. The umbilical vesicle (Fig. 130a) is pear-shaped and com- pletely closed. At no place is there a break to show its at- tachment to the cord. Although considerably macerated, the sections showed the characteristic structure of an umbilical vesicle. No. 132. Ovum, 42 x 30 mm.; embryo, C. R., 15 mm. Dr. Munson, Washington. This specimen was kindly sent me by Dr. Lamb, who had obtained it from Dr. Munson. The woman from whom it was obtained menstruated last between August 15 and 20, and aborted November 12. The embryo was preserved in a 50 per cent mixture of commercial formalin. The chorion is Fic. 132.—Photograph of the embryo. Natural size. atrophic with but few villi. The embryo has a stub head and the extremities on the right side are atrophic, while those on the left appear to be normal. The organs of the embryo are about normal in form and structure. The cord and brain are slightly dissociated. There is a small number of migrating cells in the tissues of the body as well as within the peritoneal cavity. No. 1.] ORIGIN OF HUMAN MONSTERS. 195 No. 133. Ovum, 32 mm. in diameter. Dr. J. M. Hundley, Baltimore. “Last period began September 15, 1898, and continued eight days; bloody discharge began November 11th and abor- tion occurred on the 19th. Both parents perfectly healthy. Hardened in 75 per cent alcohol.” When the specimen came into my hands I believed it to be normal, but after cutting out a piece of chorion I found the ccelom completely filled with a dense mass of magma reticulé. In taking off the piece of chorion I cut the attachment of the umbilical cord and thus located the embryo. The mass of magma and a portion of the chorion encircling the embryo were removed and cut into serial sections. Fic. 133—Ovum with piece of chorion removed, showing dense magma within. Natural size. The villi of the chorion are fibrous but normal in shape, with but litle syncytium at their tips. The syncytium imme- diately over the walls of the chorion is greatly increased in quantity. The ccelom is filled with magma and migrating cells. The amnion is complete. Umbilical vesicle is filled with desquamated entoderm cells. The embryo is distorted and cramped; epidermis is exfoliated at the points where the amnion contains masses of migrating cells; nervous system distended and dissociated ; organs and peritoneal cavity fairly well outlined ; liver filled with blood which forms large islands at points; front end of head greatly distorted, eye macerated and whole head gorged with round cells. 13 196 MALL. [Vor. XIX. No. 134. Ovum, 17 x Ir mm.; vesicle within, which is compressed, measures in the sections 9 x 3 mm. Dr. G;, N. Sominer, TrentcnyNa- A number of the sections of this unique specimen were sent me by Dr. G. N. Sommer, of Trenton, N. J., who also informs me that the ovum had been passed with considerable pain and hemorrhage by a young multipara, due to the introduction of a bougie by the woman to produce abortion. The monthly period had been five days overdue when the abortion occurred. The bougie had been introduced several days earlier. In stirring up the ovum the woman punctured it and it then became filled with mother’s blood, which formed a clot around: the embryo. The leucocytes invaded the walls of the ovum, the stem of the vesicle and even the blood-vessels of the em- bryo, and show all stages of fragmentation within the tissues of the embryo. The vesicle itself is most interesting, as it shows the effect of an infraction upon a very young normal embryo. The Fic. 134a.—Section through the ovum and embryonic vesicle. The um- bilical vesicle is torn and collapsed. The invagination of its walls and the myotome-like bodies are shown in Figs. b and c. B, blood clot; L, leucocytes. No. 1] ORIGIN OF HUMAN MONSTERS. 197 stem of the vesicle is quite extensive, in which are embryo blood-vessels filled with blood. Many of them extend into the chorion and some of them into villi. The walls of the vesicle are composed of three distinct layers. The inner is com- posed throughout of a single layer of sharply defined cubical epithelium, the entoderm. Immediately next to this is an ex- tensive mesoderm, which continues into the mesodermal layer of the stem to the chorion. Near the attachment of the vesicle to the chorion there is a sharp invagination of the vesicle which is lined with a thick layer of epithelial cells, the ecto- #e ig . * = cy ee Fic. 134b—Photograph of the invagination shown in dark in Fig. a. derm. This layer lines only the invagination and does not extend over the rest of the vesicle. Beyond and on the distal side of the invagination the mesoderm is arranged in five groups of cells which suggest in every way myotomes. In this region there are embryonic blood-vessels filled with blood. The syncytium is very extensive. The blood clot from the mother within the ccelom is recent, as is shown by the fact that there are present may red blood corpuscles. In the periphery of the clot next to the chorion 198 MALL. [Vov. XIX. the red corpuscles are partly broken down and appear as an imperfect granular detritus, within which there is a network of fibrin. There are as yet no pigmentary changes in the tissues adjacent to the clot. The clot extends through a tear in the chorion into the ccelom, and as this portion is ap- proached it is noticed that its characters change. The red blood corpuscles diminish in number, and the main coagulum consists of leucocytes which extend through the surrounding tissues. This mass of leucocytes also extends along the bor- Fic. 134c.—Myotome-like bodies, three of which are shown in the col- lapsed vesicle shown in Fig. a. der of the red clot into the cavity and walls of the vesicle. The blastoderm cells are intact on one side of the vesicle, whereas on the other they have suffered desquamation and have retracted from its walls. A part of the leucocytes com- posing this part of the clot are in a very imperfect state of preservation. They show great irregularities in the forms of their nuclei and are in a state of fragmentation. Fragmented leucocytes extend throughout the clot, a great portion of the chorion and through the walls of the embryonic vesicle. No. 1.] ORIGIN OF HUMAN MONSTERS. 199 The tissue elements of the embryo are for the most part well preserved. There is no evidence of extensive necrosis. Occa- sionally, where the clot of red and white corpuscles and fibrin becomes clearly intermingled with the villi of the chorion the syncytial cells stain imperfectly. The evidence of gross nec- rosis is entirely wanting. The blood-vessels of the chorion contain numerous leuco- cytes, constituting in some instances what appears to be leuco- cytic thrombi. One section was stained for bacteria, but none were found. The process as a whole is to be interpreted as an acute hemorrhagic inflammation of the embryonic structures. The large number of leucocytes undergoing fragmentation indi- cates that the inflammatory irritant was of a severe nature, and had acted with a considerable degree of intensity, as is not only shown by the rich immigration of leucocytes, but the severe retrogressive changes which they have undergone. No. 135. Ovum; 105 x 65x 65° mm-;, embryo, GC. R’, 9 mm. Dr. Mosely, Baltimore. The ovum was sent fresh to the laboratory and hardened in strong formalin. It is fairly smooth, its walls being thin and the villi are wanting. Upon opening it I found it filled com- pletely with a gelatin-like mass which is neither fibrous nor granular. Within this mass there is an atrophic embryo standing upon a thin umbilical cord. The entire chorion is Fic. 135a.—Embryo upon a mass of magma within the ccelom. One-half natural size. 200 MALL. [VoL. XIX. lined with the amnion. The head of the embryo is atrophic, the body being shaped like a grain of wheat. The extremities are more rudimentary on the right side than on the left. The sections of the embryo show the cord distended, the brain almost completely destroyed and the mesoderm of the top of the head converted into a mass of mucoid tissue. The head end of the chorda is greatly hypertrophied, being con- verted into a mucoid tumor. On either side of this tumor there are two large cartilages, normal in structure. Farther headwards, buried deep in the mesoderm, there are two addt- tional pearl-like bodies, which, on account of their appearance as well as by their being encircled by an oval zone of pigmented Fic. 135b, c, d—Three views of the embryo. Natural size. cells, identifies them as the lenses of the eyes. These bodies have within them lens fibers, making them look much like the lenses of amphibians. The front end of the head is necrotic. The heart is con- voluted, its outline obscure and it is distended and filled with a mass of blood cells. The outline of all of the abdominal organs and of the peritoneal cavity can be determined, although the tissues are considerably obscured by the great quantity of round cells within them. The entire wall of the chorion is very thin, and it is lined throughout with a delicate amnion. The villi have all dis- appeared and in their place there are islands of necrotic syn- cytium covered with a hyaline layer of fibrin. The whole chorion is infiltrated with leucocytes, which form small abscesses at points. No. 1] ORIGIN OF HUMAN MONSTERS. 201 No. 136. Ovum, 14 x 6 mm.; embryo, C. R., 5 mm. Dr. Campbell, Halifax, N. S. “Beginning of last period August 21, 1898. Abortion Oc- tober 16. Entire ovum was hardened in 95 per cent alcohol.” The ovum is covered with rudimentary villi, and when opened was found to be completely filled with magma re- ticulé. Shining through this mass can be seen the embryo, curled up, with extremities, myotomes, heart and umbilical vesicle visible. This remarkable specimen is a four-weeks embryo within a two-weeks ovum. The entire ovum with the embryo was cut into serial sections. Fic. 136a. Fic. 136b. Fic. 136a.—Photograph of the ovum. Natural size. Fic. 136b—lInterior of the ovum, showing faint outline of the embryo buried in magma. The villi of the chorion are atrophic and fibrous, with great buds of syncytium hanging to them as well as to the main wall of the chorion. Between the villi there is a small amount of mucus or fibrin, within which there are numerous leuco- cytes. Amnion, umbilical vesicle and embryo are apparently normal and of the four-weeks stage. The embryo is twisted on its long axis at about 90 degrees. The organs are normal. The peritoneal cavity is normal in shape and filled with blood, appearing as a fresh hemorrhage; the pericardial cavity is empty. No. 137. Ovum, 65 x 50 x 30 mm; embryo, C. R., 16 mm. Dr. Watson, Baltimore. “Last period commenced September 26, 1808. Abortion, December 21.” 202 MALL. [ VoL. DIEXe The ovum is nearly covered with long and well-developed villi, having a bare pole on one side. The ccelom contains no magma. The embryo is broken from the cord and is macer- ated on its ventral end. The head is atrophic; arms and legs are normal. At the middle of the umbilical cord there is the marked swelling seen in other specimens of this kind. Sections of the chorion show the villi to be normal in form but somewhat hyaline in structure and without blood-vessels. There is a considerable quantity of syncytium. ‘The thick- ened umbilical cord has within it a cavity partly filled with a reticular substance, homogeneous in appearance, and more in- tensely stained than the surrounding tissues. Within the cord there are large blood-vessels, greatly distended with blood cells, which extend through the walls into the surrounding tissues. Fic. 137——Photograph of embryo. Natural size. Ten millimeters from the attachment of the cord to the chorion is the umbilical vesicle. It measures 3 x 2 mm.; its walls are all degenerated and its cells, which are necrotic, fill its cavity. The stem of the umbilical vesicle reaches but half way to the umbilical cord. The central nervous system of the embryo is distended and dissociated, the spinal cord being segmental to correspond with the vertebree. The liver is necrotic and filled with blood. The heart is collapsed and dissociated. The large blood-ves- sels are collapsed and empty, while the small ones are filled with blood. The outlines of abdominal organs are pretty sharp, the tissues nearly normal in appearance and fairly free from migrating cells. Most of the epidermis has fallen off the embryo, but where it remains intact it often shows irregular thickening. No. 1.] ORIGIN OF HUMAN MONSTERS. 203 No. 141. Ovum, 40 x 30 x 20 mm.; embryo, 8 mm. Dr. West, Bellaire, Ohio. “The specimen is from a woman, a mother of nine children, who has always been healthy until about ten years ago. From this time her health gradually became worse and worse. She is extremely neurasthenic. Stomach is dilated, digestion poor. Bladder irritable and urine scanty. Uterus large, thick and retroverted ; leucorrhcea. The uterus is about three times its normal size and has a number of cysts in the cervix. There were several earlier abortions, the one before this, which took Fic. 141—Piece of chorion with dense magma and misshapen embryo. Slightly reduced. place December 13, 1897 (No. 110), having been sent to you. The last period began on October 27, 1808, and the abortion followed on January 13.” The chorion is fleshy, like No. 110, with but few villi, and within the ccelom there is a great quantity of magma reticule and a dissociated embryo about four weeks old. The sections show that the chorion and villi are matted together and contain but few blood-vessels. The syncytium is very extensive, and where it is in large masses the most central cells are necrotic. The mesoderm of the chorion is fibrous and hypertrophic. There is a considerable quantity of mucus or fibrin, rich in leucocytes, between the villi. This condition may have been more extensive elsewhere, as only the chorion in the neighborhood of the embryo was examined. 204 MALL. [Vot. XIX. The great quantity of magma reticulé within the ccelom has numerous migrating cells scattered through it. The amnion is partly in contact with the chorion and at the points of contact is normal in appearance. Where it is sepa- rated from the chorion by the excessive quantity of magma the walls of the amnion are greatly hypertrophied. The um- bilical vesicle is collapsed and its walls have undergone hyaline degeneration completely. The central nervous system of the embryo is greatly dilated and dissociated. The body cavity can barely be outlined. The large blood-vessels are faintly marked by the blood within them. The rest of the tissues are one homogeneous mass of tissue cells infiltrated with round cells, within which can still be recognized cartilages and nerve bundles. The boundaries of the heart and liver are wholly obliterated, due to their dis- sociation. No. 142. Ovum, 50 x 40 x 30 mm.; embryo, C. R., 15 mm. Dr. Sommer, Trenton, N. J. “Last period began September 28, 1898. On January 3 there were marked uterine pains; free hemorrhage February 1, and abortion February 4.” The chorion is fleshy, with some villi. Within there is a macerated embryo about five weeks old imbedded in a mass of fibrin-like magma. Between the magma and walls of the chorion there is a large space filled with clear fluid. Serial sections of the embryo and chorion show most re- markable changes. The chorion and amnion are greatly thick- ened, are very fibrous and look in every respect like the mem- branes in fleshy moles (No. 82, for instance). The villi are matted together by a mixture of blood, fibrin and numerous necrotic as well as living cells. The fibrinous mass within the amnion is in all probability blood which has entered from the exterior. It has all the appearance of blood clots found else- where in the body, but in addition it has been invaded by wan- dering cells from the embryo. The ccelom is partly filled No- 1] ORIGIN OF HUMAN MONSTERS. 205 with a granular magma into which project numerous slender villi arising from the walls of the thickened amnion. The activity of the syncytial layer has been most pro- nounced. At all points it invades blood clots and the meso- dermal tissue of the walls of the chorion and the villi. Occa- sionally it almost perforates the chorion to enter the ccelom. At one point syncytial cells are within the ccelom, but the serial sections do not extend far enough to show the point of communication. More marked is a great area of active syn- cytium within the amnion, surrounded with a clot of mother’s blood. Not only does it spread as a double layer of cells to the attachment of the umbilical cord to the chorion, but at Fic. 142—Ovum with embryo. Natural size. numerous points the nests of syncytium have nearly per- forated the walls of the thickened amnion to enter the ccelom. The whole picture reminds one much of cancer specimens. The presence of the large blood clots within the amnion indi- cates that the membrane must have been punctured, probably by the activity of the syncytium, long before the abortion took place. This, of course, would allow the syncytium to enter the ccelom and amnion to there make its further attack, which in turn may have caused the amnion to thicken and sprout so much. The embryo itself has also undergone most marked changes. The dimensions of the ovum, the length and degree 206 MALL. [Vor. XIX. of development of the embryo indicate that the pathological changes began not later than the sixth week of pregnancy, while the menstrual history of the mother indicates that at least 14 weeks have elapsed between the conception and the abortion. In other words, the pathological process has been under way for at least eight weeks. The extreme changes within the embryo also speak for this. The nervous system is markedly dissociated and macerated. Arms and legs, ex- ternal features, as well as most of the internal organs, have vanished. ‘The liver is still marked, but is necrotic. Wander- ing cells have invaded all of the tissues and are also beginning to attack the cartilaginous bodies of the vertebra. Large nests of them are also imbedded in the clots of blood which surround the embryo. The main blood-vessels of the embryo can still be traced through the surrounding tissues. The cord is filled with embryo’s blood, but this is also necrotic. From all appearances had this ovum remained in the uterus much longer it would soon have become filled with mother’s blood, which in turn would soon have solidified to make of the specimen a typical fleshy mole. Fic. 143.—Photograph of the vesicle. Natural size. No. 143. Large double sac, 15 x 10 mm., attached to the wall of the chorion. Dr. Stick, Glenville, Pa. The chorion appears normal. The double cyst-like body has thin walls and is filled with a clear fluid. The specimen has been in strong alcohol for nearly twenty years. Serial sections show a chorion, normal in appearance, to which is attached the double vesicle as shown in the photo- No. 1.] ORIGIN OF HUMAN MONSTERS. 207 graph. The structure of the walls of the two sacs is identical with that of the mesoderm of the chorion with all of the epithelial cells fallen off. ‘The two sacs do not communicate ; the larger has smooth walls; the smaller has numerous small vesicles, about 1 mm. in diameter, opening into it, and the cluster of “air cells” are directly blended with the mesoderm of the chorion. The specimen undoubtedly belongs to the vesicular forms, peculiar only on account of its size. No. 147. Ovum, 30 x 27 x 20 mm.; vesicle, I mm. in diameter. Dr. Pole, Baltimore. “Last period began January I, 1899, and the specimen was discharged March 23.” The ovum is only in part covered with villi, the remaining portion of the chorion being clear and transparent. The ccelom is completely filled with magma which has turned very white in the alcohol in which this specimen was preserved. Fic. 147.—Interior of ovum. Slightly enlarged. On one side of the ccelom, closely attached to the chorion, there is a small vesicle and an irregular mass which may represent the remnants of the embryo. Sections of the chorion show that the mesoderm is very fibrous and rich in cells. The vesicle within is about one milli- meter in diameter and is located two millimeters from the chorion, but not at all attached to it. Its walls are composed 208 MALL. [Vo.. XIX. of only one layer of cells on one side of the vesicle, while on the opposite side it has a second layer or mesoderm, .5 mm. thick, in which are imbedded numerous blood-vessels filled with blood. There are a few blood-vessels filled with blood in the chorion in the immediate neighborhood of the vesicle. No. 150. Ovum, 35 x 30 x 10 mm.;-embryo, 5 mm. Dr. Oertel, Augusta, Ga. There are but few villi on the chorion. The embryo is distorted and the arm on one side is unusually large. The sections of the embryo show an extreme degree of pathological change. The nervous system is swollen and solid, and the contour of the viscera is wholly obliterated. The large blood-vessels are greatly distended with blood. Round cells are distributed equally throughout the body of the embryo. No. 152. Ovum, .70 x 422 38m: -embryo~eG ke, 21 am Dr. H. J. Boldt, New York. “The specimen is from a woman suffering with endo- metritis, this being her third successive abortion, which took place in each instance during the third month of pregnancy. The beginning of the last period preceding this abortion took place on April 16; conception April 20 (?); and abortion June 25, 180057 When the specimen came into my hands the chorion was found to be smooth and apparently free from villi. The cavity of the amnion is filled with a mass of granular magma covering entirely an embryo over two months old. The um- bilical cord is much twisted and thin, measuring .5 mm. in diameter. The embryo was cut into serial sections and dif- ferent portions of the chorion were also examined. Microscopic examination shows that the chorion and am- nion are fibrous. The villi of the chorion are matted together with fibrin and a mass of cells, which have undergone hyaline No. 1.] ORIGIN OF HUMAN MONSTERS. 209 degeneration. The stroma of the villi is very fibrous, being invaded at many points by syncytial cells and leucocytes. At numerous points there are large nests of leucocytes forming abscesses. It is a plain case of the endometritis infecting the chorion. The embryo is imbedded in a large quantity of magma giving every appearance of embryo No. 79 again. The or- gans of the embryo are dissociated and macerated and the tissues stain poorly, indicating that the embryo had died a considerable time before the abortion took place. Again the central nervous system is swollen and dissociated. Migrating cells are found in clumps or scattered in all of the tissues. In general, the connective tissues are more fibrous than normal, the true skin showing considerable hypertrophy. The epi- dermis is wanting. No. 153. Solid mass, 50 x 20 X 20 mm. Dr. Stick, Glenville, Pa. Last period began April 30; abortion, July 15, 1899. The mass is pear-shaped and proves to be a ruptured chorion partly inverted and imbedded in an organized clot of blood and fibrin. The chorion is, of course, ruptured and at the point of rupture there is a mass of blood, which forms the large end of the pear-shaped mass. There is no amnion within the chorion, nor could the embryo be found. A por- tion of mucous membrane of the uterus is attached to the chorion. The villi of the chorion are normal in form, but the mesoderm of many of them have undergone a kind of coagu- lation necrosis. The syncytial cells are generally normal in appearance. There are many leucocytes throughout the tis- sues, especially within the mesoderm of the inverted chorion. No. 154. Ovum, 10 x 7 x 7 mm., found within a mass of blood within the uterine tube. Dr. Boldt, New York. 210 MALL. [VoL. XIX. The ovum was cut into serial sections, but no trace of an embryo could be found. The sections show, however, that the chorion had been torn, but the edges of the tear were rounded and infiltrated with mesodermal cells. The main wall of the mesoderm and the villi in the neighborhood of the tear are fibrous and artophic. The rest of the villi are normal in appearance. No. 158. Tubal pregnancy; vesicle, 2 mm. in diameter. Professor W. T. Howard, Cleveland, Ohio. The specimen came to me imbedded in celloidin and mounted on blocks ready to cut. From each block sections were cut, three of which proved to be through the chorion. In one of these sections there was the remnant of an embryo within the chorion; from this piece I removed the celloidin and reimbedded it in paraffin and cut it into serial sections 50 microns thick. The microscopical examination of the sections shows that the chorion is denuded entirely of its villi, being in apposition and apparently continuous with the wall of the uterine tube. Occasionally the line of separation is marked by a row of irregular cells, probably the remnants of the epithelial cover- ing of the chorion. The mesodermic portion of the chorion is somewhat fibrous, being smooth on its ccelom side and without an adhering amnion. The nodule within is shriveled and necrotic, only a few of its nuclei staining. It appears as a double sac, together measuring 2 mm. in diameter, with a clump of necrotic cells, appearing like those of the umbilical cord, between them. In none of the sections is the embryonic mass attached to the chorion. At one place, however, the cord-like structure runs into a long process toward the chorion with a blood-vessel (?) filled with blood in its center. My interpretation of the embryonic mass is that it is com- posed of amnion and umbilical vesicle of about equal size, shriveled and partly torn into pieces, but still held together by the remnants of the embryo and umbilical cord. No. 1.] ORIGIN OF HUMAN MONSTERS. 211 No. 159. Fragments of a chorion about as large as a walnut. Dr. Golden, Elkins, W. Va. “From a woman in good health who had aborted a year before during the third month of pregnancy. During the second month of the pregnancy, from which the present speci- ‘men was obtained, there was a slight flow of blood without any pain. It continued for two days. Ten days later it re- curred and continued for 24 hours. Three days later it re- curred again, became profuse and the abortion followed. The supposed duration of the pregnancy is ten weeks. No indication whatever of endometritis. Both father and mother are per- fectly healthy and are very anxious to have children.” The specimen consists of portions of the mucous membrane of the uterus, large portions of the chorion, amnion, but no embryo is present. The mucous membrane is full of small abscesses, and leucocytes have invaded all portions of the chorion. The syncytium is very active, and at numerous points the syncytium and leucocytes have invaded the meso- derm of the chorion. The amnion is greatly curled up and thickened. Its walls have undergone hyaline degeneration. The cells covering the amnion on the side towards the ccelom are generally proliferated, often forming islands. No. 161. Chorion, 50 x 25 x 25 mm.; embryo, Io mm. Dr. Cassidy, Baltimore. “Last period at the end of August. Abortion, November 17, 1899. After missing the next period patient took medi- cine and had a rubber tube introduced into the uterus. Puru- lent leucorrhcea during the past six months.” The entire ovum was given me hardened in alcohol. It was covered with hard clots of blood; on one side the villi appear to be normal. Upon opening the ovum a mass meas- uring I0 x 5 x 5 mm. was found attached to its walls, which, after sectioning, proved to be a strangulated embryo. It was imbedded and cut into serial sections. 14 212 MALL. [Vou. XIX. The sections prove the mass to be an embryo of the fifth week, filled and covered with round cells. These cells have obliterated the structure of the head entirely, but as the tail end of the body is approached the outline of the organs can still be defined. The villi of the chorion are developed in a great mass of blood and pus; the syncytium is excessive. Within the stroma of the villi there are, at many points, many“ round cells which appear to be migrating cells from the embryo. No. 162. Mole, 70 x 30 xX 30 mm.; embryo, I mm. Dr. Wanstall, Baltimore. The specimen came to me in formalin with the following note from Dr. Wanstall: “Last period from September 2 to 7, that is her usual time, five days. The woman began bleed- ing November 9, and passed the specimen on November 22. She is the mother of five children and says that this is the . ° . ad Fic. 162—Section through the embryo. 15 times. Ch, chorion; am, amnion; h, heart; wmb, umbilical vesicle; 7m, intestine; all, allantois or possibly liver. only time-she has aborted. There is not the slightest indica- tion of uterine disease.”’ Within the specimen there is a cavity measuring 35 x 12 x 12 mm., lined with a smooth wall and filled with a jelly-like substance, within which there is a very small embryo which was cut into serial sections 50 microns thick. The sections show a remarkable atrophy of the embryo and umbilical vesicle. The chorion is very thin and is composed of meso- No. 1.] ORIGIN OF HUMAN MONSTERS. 213 derm only. The villi and epithelial cells are wanting, but in their place there is a thick layer of mother’s blood. The entire chorion is lined with an amnion and into its cavity the nodule- like embryo projects. Its tissues are not uniform, being thick- ened at some points, necrotic at others, and mucoid at others. Throughout the center of the nodule there are some capillaries filled with blood. At the point of juncture between the amnion and chorion there are three projections from the embryo into the coelom—(1) the umbilical vescicle; (2) the allantois; and (3) the heart. That the second is the allantois is indicated by its cavity, which is multiple at points. The heart is within a pocket of the ccelom and has an irregular lumen which is well Alled with blood. At the base of the nodule there is a short tube which communicates with the allantois, the intestine. No. 166. Ovum, 40 x 40 x 40 mm.; embryo, 2.5 mm. Dr. Cassett, Baltimore. Last period on October 18. On December 29 there was a discharge of blood which continued until the 31st, when the mole was expelled. The mole is composed of very thick, fleshy walls within which there is a cavity with a smooth wall, measuring 30 x Fic. 166.—Section through the embryo. X 15 times. Ch, chorion; am, amnion; 7, nervous system; 1, heart or umbilical vesicle. 214 MALL. [Vor. XTX. 20 x 20 mm. On one side there is a small atrophic embryo 2.5 mm. long. The sections of the chorion show that its villi are. well formed and are imbedded in a mass of blood from the mother. Possibly the syncytial layer of epithelium is increased. The coelom side of the chorion is smooth and is in contact with the amnion. Attached to the amnion there is the embryonic mass or remnant which does not reach to the chorion; there is no umbilical vesicle to be found. The amnion and embryo are completely separated from the chorion. There are no blood-vessels in the chorion. The embryo is cylindrical in form, being attached through- out half of its length to the amnion and passing through it. In the center of the embryo there is a solid column of cells quite sharply defined—the remnants of the central nervous system. At the tail end of the embryo there is a blind tube, the allantois. The ccelom of the embryo, which is as a pocket on its ventral side, contains an irregular sac which may be either the heart or the umbilical vesicle; probably the former. No. 174. Ovum, 35 x 25 x 25 mm.; embryo, 13 mm. long. Dr. Gibbs, Baltimore. Last period January 11, 1900; bleeding five weeks later, which continued until the eighth week, when the abortion fol- lowed. The ovum is smooth, having but few villi, and is filled with a granular magma. Sections of the chorion show a marked degeneration of its walls, nearly all of its villi having been destroyed. Those few Fic. 174.—Embryo lying on piece of the chorion. Enlarged 2 diameters. No. 1.] ORIGIN OF HUMAN MONSTERS. 215 fragments of villi which remain are imbedded in blood and are riddled with the cells of the syncytial layer. The meso- dermal layer of the chorion is no longer sharply defined and is more or less filled with cells with fragmented nuclei, the origin of which cannot be determined. The embryo is of the stage of five or six weeks with pretty sharply defined organs and tissues which are more or less dis- sociated and infiltrated with wandering cells. Most of the epidermis has fallen off; in the region of the olfactory pit (which is almost obliterated) the epidermis forms two marked horn-like elevations. The central nervous system is swollen and dissociated more than the remaining tissues of the body, the change being greater in the brain than in the cord. The vascular system is gorged with blood which is beginning to invade the surrounding tissues. This increase is most marked in the umbilical cord, which appears cedematous. No. 177. Embryo, C. R., 12 mm. Dr. Harrison, Baltimore. The sections show well outlined all of the organs of an embryo of the end of the fifth week, but they are dissociated and swollen. So extensive is the dissociation in the head that the brain has become practically solid, the vesicles being nearly obliterated. The process is not so extensive in the spinal cord. Most of the epidermis has fallen off. The vascular system is again greatly distended with blood which is infiltrating the tissues, especially those surrounding Fic. 177—The photograph shows the rounded head and stubby leg. En- larged 2 diameters. 216 MALL. [ Vo. XIX. the larger arteries and veins. In general the tissues show the changes always seen in embryos which have been gradually strangulated before the abortion. In this specimen there is one marked variation in the changes usually found. The precartilage outlines all of the vertebrae and ribs, but no true cartilage is as yet formed in them. Back of the eyes in the occipital region there are on either side of the head two cartilages well developed, much too advanced for embryos of this stage. A more advanced stage of this cartilage will be found in embryo No. 135. The head is also beginning to become stumpy; the frontal process 1s necrotic and is beginning to fall off. No. 180. Ovum, 20 x I5 x Io mm.; vesicle, 2 mm. Dr. CW: Dodges Rochester (Nay: “TI have in my possession a human embryo which, if I may judge from some of your papers which I have seen, is likely to be more valuable to you than to me, and for this reason I have kept it intact, instead of sectioning it as I have been sorely tempted to do. Its history is as follows: The woman from whom it came is a patient of Dr. Edward Mott Moore, Jr., of this city. On March 28, last, her right ovary was re- moved. She left the hospital on April 15, and coitus occurred May 13. On June 19 menstruation appeared and this ovum was expelled, which was brought to me in a pill box (the membranes being broken in handling), and put at once into 4 per cent formalin, in which solution it still remains. As the dates given above are vouched for by the patient and the physician, it seems to me that we have here an unusually accurate and perfect history of the embryo, and, while it is not so very young, its history may give it additional interest.” Sections of the chorion show that its mesoderm is of nor- mal thickness, but is fibrous and rich in nuclei. Throughout the main wall of the chorion, but not in its villi, there are numerous blood-vessels filled with blood, showing that at one time an embryo may have existed. No. 1.] ORIGIN OF HUMAN MONSTERS. 217 The villi are normal in form, with a very extensive syn- cytial layer of cells over them. At points the syncytium forms large islands, which can easily be seen with the naked eye. Immediately over the vesicle within, an island of this kind, a millimeter in diameter, arises from the main wall of the chorion and sends processes up between the villi. The mesoderm immediately below this island is thinner than the rest, making it appear as if the violent growth of the syn- cytium took everything before it, but that in the attempt to produce new villi the fibrous mesoderm of the chorion would not follow. At many points between the villi there is a slimy mass of albumen well infiltrated with leucocytes and numerous small islands of syncytium, some of which can be followed back to their origin from the villi. The vesicle within is composed of but one layer of cells, those of the mesoderm with blood islands imbedded within it. No trace of an entoderm can be made out, although the lumen of the vesicle extends into a pedicle which, as a single strand of cells, attaches itself to the chorion. No. 181. Ovum, 18 x 18 x 10 mm. Dr. D. S. Lamb, Washington. The ovum is filled with reticular and granular magma and no remnants of an embryo could be found, although every par- ticle which might contain it, with the adjoining chorion, was cut into serial sections. The mesoderm of the chorion and villi is edematous; the epithelial covering is poorly developed, often being composed of but one layer of cells. No. 182. Head and upper end of the body of an embryo about five weeks old. Dr. D. S. Lamb, Washington. Sections of this embryo show an extreme degree Bf dis- integration of the embryo. The brain is converted into a mass of cells filling the central canal entirely and extending into the surrounding tissues of the embryo, the line of de- 218 MALL. [ Vor. XIX. marcation being obliterated. The large veins of the body are gorged with blood which also extends into the surrounding mesoderm. On the frontal side of the head there is a straw- Fic. 182.—Piece of head showing necrotic mass over the mid-brain. Enlarged 2 diameters. colored necrotic mass with some migrating cells within it. On the dorsal side of the head the mesoderm is thin and blistered, indicating the beginning of spina bifida. The cartilages alone are still well defined. No. 185. Ovum, 40 x 25 %.15 mtn: Dr. Sabin, Baltimore. The abortion occurred seven weeks after the beginning of the last period. The specimen was brought to me in formalin, and upon opening it I found that the ccelom was stuffed with reticular and granular magma. No trace of an embryo could be found, although the entire ovum was cut into serial sections. The main wall of the chorion is completely filled with leu- cocytes from the mother and show all stages of fragmentation of the nuclei. They form a fairly sharp border on the ccelom side, making the chorion appear as the wall of an abscess. The invasion of the chorion with leucocytés must have been merely from the coelom side, as the villi are not invaded to any extent. Some of the villi are cedematous, others atro- phied, being covered with a normal amount of syncytial cells. No. 188. Ovum, 45 x 40:x.40umm, Fembryo,.C€ 7 17 aim. Dr. G. N. Sommer, Trenton, N. J. “Last menstruation began January 6; bleeding began March 19, and ended in a few hours with the abortion. The No. 1.] ORIGIN OF HUMAN MONSTERS. 219 unopened ovum was immediately placed in ninety-five per cent alcohol.” The ccelom is filled with granular magma, the chorion is very fibrous, and the villi are mostly wanting. The tissue of the mesoderm is very rich in nuclei, none of which appear to belong to leucocytes from the mother. Three kinds can easily be recognized—(1) those which normally belong to the mesoderm; (2) blood cells from the embryo; and (3) an ex- tensive invasion of the syncytial cells. This third group can be traced directly from large mounds of syncytium lying upon the chorion, from which they extend throughout the meso- derm, frequently entering the larger blood-vessels. Often large giant cells are seen, showing the usual characteristics of the syncytium after it has invaded the mesoderm of the chorion. ‘The villi are affected less than the main walls of the chorion. No cells from the syncytial layer of the chorion were found in any of the blood-vessels of either the embryo or the umbilical cord. ; The organs of this embryo are all normal in form and of the proper degree of development for an embryo of this size. The tissues are dissociated somewhat, the most marked being that of the brain. The veins of the body are all gorged with blood, with but little migration of blood cells into the sur- rounding tissues. . No. 189. Ovum, 28 x 25 x 15 mm.; embryo, 4 mm. Dr Oertel, Avicusta, Ga: The ovum, filled with granular and reticular magma and contains a deformed embryo, lying within a distended amnion, S mm. in diameter. The umbilical vesicle and amnion appear to be normal for an embryo of this size; the body, -however, is greatly de- formed, the central nervous system being open throughout its extent and encircles the dwarfed embryo like a broad hoop around a ball. A number of the motor roots of the spinal nerves are developed, more in the region of the tail than else- 220 MALL. [Vot. XIX. where. There are no cranial nerves. The heart is a vesicle filled with blood, hanging into the ccelom and slightly at- tached to the body wall. Its vascular connection with the body is cut off entirely. The blood-vessels of the body are irregular in shape and entirely changed from the normal Fic. 189a.—Photograph of the embryo. Enlarged 2 times. Fic. 189b.—Section through the head of the embryo. 30 times. The medullary plate, m, is open throughout its whole extent. type. They are filled with blood which extends through their walls into the surrounding tissues. The branchial arches cor- respond to an embryo of this size. There are still traces of optic vesicles, chorda and possibly allantois present, the liver and stomach and intestine having degenerated. No. 190. Ovum, 25°x 22 x 12 7m. Dr. C. M. Ellis, Elkton, Md. The ovum is filled with reticular magma within which no trace of an embryo can be found, although the entire specimen was stained and cut into serial sections. The chorion and villi are apparently normal, containing blood-vessels from the embryo. No. 1.] ORIGIN OF HUMAN MONSTERS. 221 No. 195. Ovum, 30 x 30 x 30 mm. Dr. D. S. Lamb, Washington. No embryo could be found, although the entire ovum was cut into sections. The specimen is well covered with villi and contains some retictlar magma. The mesoderm of the chorion and villi appears normal and is rich in blood-vessels filled with embryo’s blood. No. 196. Tubal pregnancy; embryo, 2.5 mm. long. Professor Brodel, Baltimore. The specimen, hardened in formalin, contained two sus- picious bodies which were both cut into serial sections. One of these proved to be the embryo greatly deformed, repre- senting a stage about three weeks old. The tissues of the embryo are quite homogeneous, only the central nervous sys- tem being recognizable. One eye and a large blood-vessel can Fic. 196.—Tube cut open, showing the embryo. From a sketch by Pro- fessor Brédel. still be faintly outlined. At points the amnion and umbilical vesicle are blended completely with the chorion. The outside of the chorion has attached to it a few long and thick villi which do not branch. The chorion and these villi are covered with a layer of syncytium of unequal thick- 222 MALL. [VoL. XIX. ness, which frequently invades the mesoderm. The whole chorion is embedded in a large mass of mother’s blood. The most remarkable part of this specimen is found within the blood-vessels of the chorion. They are gorged with nu- cleated blood corpuscles filled with a pigment of the same color as that of the surrounding mother’s blood. It appears as if the syncytium, in destroying the mesoderm of the chorion and the mother’s blood, at the same time made it possible for the blood of the embryo to take up the blood pigment thus liberated. At any rate, the blood of a human embryo three weeks old contains no pigment, and the sections of this specimen permit of this interpretation. There is also a con- siderable quantity of mother’s blood within the ovum around the embryo, but as the specimen was opened before it was hardened and the corpuscles are all perfect, they need not be taken into consideration in the interpretation just given. No. 198. Ovum, 25 x 25 x 25 mm. Dr. Larsen, Chicago. The specimen came to me hardened in a mixture of bi- chromate of potash and formalin. The interior is filled with considerable reticular magma and large lumps of granular magma. Imbedded in.this there is a large cylindrical pedicle 7 mm. long bent upon itself. Sections of this specimen show that pedicle to be the umbilical cord rounded off at its former juncture with the embryo. Fic. 198.—Pedicle within chorion. Enlarged 2 diameters. No. 1.] ORIGIN OF HUMAN MONSTERS. 223 The mesoderm of the cord, chorion and villi is fibrous, having also an excess of spindle-shaped cells. The blood- vessels are all very large, those of the villi as well as most of those of the main wall being gorged with blood. The large blood-vessels of the cord are empty. Within the cavity of the amnion scattered throughout the magma there are numer- ous flakes of tissue of the embryo and a great many free cells. No. 200. Ovum, 35 x 25 x 20 mm.; embryo, C. R., 14 mm. Professor Brodel, Baltimore. The central nervous system is dissociated and macerated very much, the form of the brain and spinal cord being lost entirely. The organs are all deformed, the liver in addition being necrotic, as it does not stain at all. There is ulceration of the front of the head, but over the rest of it, in spite of the extensive internal change, the epidermis is intact. The walls of the umbilical vesicle are broken down entirely and its lumen is filled with a mass of necrotic cells. The amnion, chorion, and villi are more fibrous than normal. Fic. 200.—Broken embryo within piece of the chorion, showing stumpy arm. Natural size. No. 201. Ovum, 80 x 60 x 50 mm.; embryo, C. R., 20 mm. Professor Brodel, Baltimore. The ovum was received without villi and upon opening it it was found filled with a fluid which had hardened into a 224 MALL. [ Vor. > Gi D,% jelly in formalin. The embryo is atrophic, with a necrotic mass on top of its head. The fleshy chorion proved when sectioned to be a mixture of true chorion, villi, blood, fibrin, decidua, blood sinuses, pus and syncytium. The layers are not at all in regular order, and show all stages of disintegration. The mesoderm of the villi is fibrous and is often invaded by leucocytes and syncytium. At other points the syncytium invades the blood clot and fre- quently maternal blood sinuses are filled with leucocytes and syncytium. HirGas2O nas Photograph of the embryo. Enlarged 2 diameters. Within the embryo most extensive changes have taken place. The brain is greatly deformed and is severed, through a growth of tissue, from the spinal cord in the region of the medulla back of the deformed ear. In fact, the brain is in- cluded within the cap-like body on top of the head. The spinal cord begins quite abruptly in the upper cervical region and ends in the same way in the upper lumbar region. At its end there is a curious fibrous tumor measuring’ half the diameter of the cord. The cord, so far as it is developed, appears to be normal, but it is dissociated somewhat. Below the upper lumbar region the spinal cord is wholly wanting, No. 1.] ORIGIN OF HUMAN MONSTERS. 225 the spinal canal being filled up with mesodermal tissue rich in blood-vessels. Where the cord is missing most of the spinal nerves appear to remain, and many dorsal ganglia can be made out. This all indicates that the changes in the cen- tral nervous system took place after the spinal nerves were developed from it. Se | Se t \ Sate \ ea SS eae ae % aS ae / Fic, 201b—Diagrammatic reconstruction of the embryo, showing the extent of the central nervous system. 5 times. The two eyes are united into a single one with a double retina, two lenses, a single choroid, and a single optic nerve; back of this it is double again. It certainly appears as if the two eyes have wandered together and have united in the middle line. The epidermis is quite complete, being broken through at the back of the head. The extensive ulcer which is found 226 MALL. [VoL. XIX. Fic. 201c.—Section through the top of the double eye of the embryo. 30 times. The eyes are buried deep in the head, being covered with mesoderm and epidermis. here is very rich in blood-vessels, involves the walls of the brain, but does not reach into its ventricle. At the highest point of the head the epidermis has developed into a papilli- form body; below this there is a large necrotic area in which there is a great quantity of yellow pigment granules. The mouth is closed, although the alimentary canal from there to the stomach is open and appears normal. The intes- tine is matted together, the cloaca and anus being obliterated. The epithelium of the upper portion of the intestine shows marked growths into this matted mass. Fic. 201d.—Section through the optic nerve and double eye. XX 30 times. No. 1.] ORIGIN OF HUMAN MONSTERS. 227 +, EM a” os ys Fic. 201e.—Photograph through a section of the ear, showing the plug which closes the external meatus entirely. 15 228 MALL. [Vo.. XIX. The thoracic region, liver and vascular system have under- gone practically no change. The extensive growth of meso- dermal tissue throughout the embryo has caused an extensive destruction and arrest of further development of the muscular system. This is shown by all kinds of secondary changes in the connective tissue, especially that of the skin, which 1s markedly fibrous, as may be seen in Fig. 2o1e. Here the change is so great that it obliterates the external auditory canal entirely. No. 204. Ovum, I4 x 12 x 8 mm. Dr. D. S. Lamb, Washington. The specimen, said to be three weeks old, was found filled with a mass of granular magma. The whole ovum was stained and cut, but no trace of an embryo could be found. The chorion and villi appear normal. No. 205. Ovum, 40 x x30 x 30 mm.; embryo, C. R., 6 mm. Dr. D. S. Lamb, Washington. “The specimen is about four weeks old and is from a woman who had been married three months. Syphilis is suspected in the case.”’ The chorion is partly encircled with the decidua, which is more or less necrotic and well infiltrated with leucocytes, showing that an inflammatory process was present in the uterus. The chorion is fibrous at points and at others cedem- atous, with but few blood-vessels present. The villi are irregular and often very fibrous, being hypertrophied as well as atrophied. Their outlines are irregular and they are cov- ered with a dense and very irregular mass of syncytial cells. But few of the villi have blood-vessels within them and they are all empty. The amnion is completely adherent to the chorion through- out its extent, making these two membranes appear as one. On the amnion side there are numerous fibrous tuberosities No. 1.] ORIGIN OF HUMAN MONSTERS. 229 which appear much as small villi inverted. At other points the epithelial covering of the amnion builds by itself a double layer of cells, which often gives rise to papilliform processes much like the syncytium on the outside. Sometimes this layer of epithelium is raised, forming a blister with a fibrin- like substance, possibly magma reticulé, throughout which are scattered transparent round cells with very small nuclei. The umbilical cord is quite fibrous, with large irregular openings scattered throughout it. These are filled with a mucoid substance in which a few nuclei are scattered. The blood-vessels are all obliterated with the exception of the point of the attachment of the cord to the embryo, where irregular vessels are filled with blood. The external form of the embryo is well preserved and is covered entirely with epidermis which is much thickened. The brain and spinal cord are swollen, the former being practically solid in the region of the fore-brain. The heart and large ves- sels are gorged with blood which extends from them into the surrounding tissues, obliterating them almost entirely. Within this mass of migrating cells can be seen the outlines of some of the organs of an embryo about four weeks old. The liver, stomach, and lungs are riddled, and but the faintest mark of an endoccelom can be seen. It appears as if all the blood of this specimen accumulated within the embryo, the cord and the chorion being free, the extensive epidermis preventing the migration of the blood cells into the amniotic cavity. No. 207. Ovum, 70 x 45 xX 45 mm.; twin embryos, 16 mm. long. From Professor Brodel, Baltimore. The specimen came to me unopened and hardened in a strong solution of formalin. Its exterior is smooth with smail villi at one of its poles. Within there are two embryos, both macerated, with atrophic heads. The larger embryo meas- ures C. R., 16 mm. The other is a little smaller, but as it is broken, an exact measurement could not be made. The cords of both embryos are atrophic. 230 MALL. [VoLt. XIX. There is some granular magma within the amniotic cavity with several large clumps in the coelom, where the two am- nions meet: Sections of the membranes show that the chorion is de- nuded of most of its villi, with the exception of the point over the atachment of the cord of the broken embryo. The entire chorion is covered with its decidua, which is rich in blood sinuses and infiltrated with leucocytes. But few rem- nants of the syncytial layer of the chorion remain. The whole embryo is still covered by epidermis excepting on top of the head, at the tail end of the body, and at the attachment of the umbilical cord. At these points there is a Fic. 207a.—A whole ovum. Reduced. marked destruction of the tissues, which are beginning to dis- integrate. The top of the head is ulcerated, in front it is necrotic and pigmented, as is frequently the case in other embryos. The nervous system shows the usual changes seen . in strangulated embryos. The vascular system of the embryo is gorged with blood, but none is within the vessels of either the cord or the chorion. Within the body there is quite an extensive migration of blood cells into the tissues, obliterating them in part, but the process of destruction is not so far advanced as in No. 205. ‘The majority of the organs can be still outlined. We have here a rapid infiltration with migrat- ing cells of an embryo of forty days, with cytolysis rather than dissociation of the tissues. No. 1.] ORIGIN OF HUMAN MONSTERS. 231 The changes in the broken embryo are practically the same as in the unbroken one, although they are more advanced. Only the head, extremities and cord remain entire, and in Fic. 207b—Photograph of the interior of the ovum, showing both em- bryos. Natural size. these the changes are more marked than in the corresponding parts of the unbroken embryo. In the former it is practically a mass of individual cells, while in the latter the brain is swollen and quite solid. No. 209. Ovum, 20 x 15 x 10 mm.; embryo normal in form, about two and one-half weeks old. Dr Ge N.4j-sommer, Trenton, N. J. “The woman from whom the specimen was obtained 1s thirty years old. Three years ago she had a miscarriage during the third month of pregnancy, and three months ago she was delivered of a monster at the end of gestation. The specimen was one of hydrocephalus and spina bifida with hydramnios, fully eight liters of fluid coming away at the time of delivery. She menstruated the first time yesterday since her confinement, bleeding profusely all day, and in the evening the ovum came away with a few blood clots. Within the sac I could see the embryo, about 5 mm. long, attached to the chorion by the cord.” 232 MALL. [Vor. XIX. The specimen came to me in 95 per cent alcohol, and upon opening it a large amount of magma was found within the celom. Not finding the embryo, the whole specimen was stained, imbedded in paraffin and cut into serial sections 50 microns thick. It happened that the embryo was cut into coronal sections, and those containing the embryo with the chorion attached to it were mounted. The form of the structures of the embryo is normal, only the tissue did not stain well, indicating that it had been dead for some time before the abortion. Over the back and tail of the embryo the amnion is closely adherent, but it is wanting over the head. Here it ends abruptly, and this could not be due to rough handling, for the embryo is well packed with magma up against the chorion. Over the embryo the chorion is very thin and without villi, which explains why the embryo was seen in the fresh specimen. At some distance from the embryo the chorion appears to be normal in struc- ture. No. 212. Embryo, ©) 9.5, mane Dr. West, Bellaire, Ohio. The macerated embryo is from a large ovum which was aborted October 9, 1902. Last menstrual period began on April 3, 189 days before the abortion. The tissues of the embryo show that its development was arrested during the sixth week. The central nervous system is completely dissociated, being but a mass of cells. The other tissues of the body, except those of the head, have under- gone no secondary changes. The face and the top of the head have been converted into a thickened mass of necrotic tissue, in which may be seen large veins filled with blood. The eyes are immediately below the skin, thoroughly disso- ciated, but the vesicular lenses can still be outlined. No. 215. Ovum, 45 x 40 x 40 mm.; embryo, C. R., 17 mm. Dr. Unger, Mercersburg, Pa. Brodel Collection. No. 1.] ORIGIN OF HUMAN MONSTERS. 233 Fic. 215.—Photograph of macerated embryo in a piece of the chorion. Natural size. The specimen is smooth and fleshy and filled with granular magma, in which was found the remnants of a macerated embryo. Sections of the chorion show that the decidua is attached and that the amnion lines the whole ovum. The chorion is well developed, but the villi are matted together; it corresponds with its history, which states that the specimen is about 12 weeks old. It was preserved in 10 per cent alcohol. No. 223. Mole, 40 x 18 x I5 mm. Professor Brédel, Baltimore. At the point of attachment to the uterus the “fibroid mass” Fic. 223a——Photograph of the mole. Natural size. 234 MALL. [Vor. XTX. is very rich in villi, which at its rounded end is composed wholly of blood. The entire tumor is encapsulated with a layer of pus. Between the villi the meshes are filled with Fic. 223b—Diagram of the structure of the mole. B, blood and fibrin; P, pus; S, syncytium; NS, necrotic syncytium; V, villi. syncytium, which often give the picture of a cancer. Where the syncytial cells are far removed from the blood they are often necrotic. No. 226. Ovum, 60 x 60 x 30 mm.; embryo, C. R., 24 mm. Dr. West, Bellaire, Ohio. “The woman, mother of three children, menstruated last on March 3 and aborted on May 29.” The ovum is covered with a few large villi two mm. in diameter at their base, and irregular clots of blood. Elsewhere it is smooth. The amnion is filled with a granular mass, which was swept out easily when opened. Between the amnion and chorion there is an irregular mass of mother’s blood, which is partly organized, showing that the chorion had ruptured some time before the abortion took place. The tissues of the villi and the chorion are somewhat fibrous, with very few degenerated blood-ves- No. 1.] ORIGIN OF HUMAN MONSTERS. 235 sels within them, indicating that the circulation had ceased some time before the abortion; which is confirmed by a study of the embryo. The external form of the embryo indicates that it was nearly 50 days old when it died, for, with the exception of the head, its form is practically normal. The menstrual his- tory makes it 87 days, and if 28 is subtracted, ten days are still left, which is time enough in which to bring on the internal changes found within it. In general the organs are sharply defined, but they do not stain well; the cells appear as in coagulation necrosis. The Fic. 226a.—Photograph of the embryo. Enlarged 2 diameters. cartilages are also well formed, and the maxilla, mandible, clavicle, humerus, ulna, radius, femur and tibia have begun to ossify. All this indicates that this embryo died quite suddenly and that the changes within it are to be viewed as post-mortem changes. The vascular system is well developed, the heart muscle being normal in shape but very fibrillar; it does not stain well. Most of the large vessels are empty and the blood cells are scattered throughout the tissues of the ernbryo and the cord. The muscle fibers are unusually well marked, and the connective tissue seems to be thickened. 236 MALL. [VoL. XIX. The most marked changes are seen in the head. Much of the epidermis is still in place, but some of it has fallen off. At the back of the head the destructive process has included the back of the brain and the upper part of the spinal cord. The fore-brain, mid-brain and the spinal cord of the trunk are still intact and dissociated. The eyes are of normal shape and position, but much macerated. The nerves of the head can still be outlined, which shows quite conclusively that the destruction of the medulla is of recent date. Fic. 226b.—Reconstruction of the central nervous system of the embryo. No. 228. Ovum, 60 x 25 x 25 mm.; embryo, 4 mm. Dr. West, Bellaire, Ohio. “The specimen is from the first pregnancy of a fairly healthy woman. Last period July 1 to 3, and the abortion took place on October 10, 1903.” No. 1.] ORIGIN OF HUMAN MONSTERS. 237 Fic. 228a.—Photograph of the ovum. Natural size. The solid blood-red specimen contains a regular cavity, 30 x 18 x 18 mm., which is filled with a granular magma, on one side of which is attached an embryo shaped like an hour-glass. Sections of the mole show that it is composed of thick walls in which there is much blood, villi, a great deal of decidua and some pus, especially on its outside. The meso- derm of the villi and chorion is very fibrous and devoid of blood-vessels. Fic. 228b.—Diagrammatic section of the embryo. X 20 times. 238 MALL. [Vor. XIX. The cavity of chorion is lined with a very thick amnion and the remnant of an embryo indicates that its development was arrested towards the end of the third week. The de- forming process must have been active for at least 50 days. The vascular system is still represented by a mass of cells on the ventral side of the embryo, behind which there is a large vessel full of blood extending towards the remnant of the umbilical vesicle. No vessels extend to the chorion. The central nervous system fills the main part of the em- bryo, being much dilated in the head and pretty well filled with round cells throughout. In front of the brain are two vesicles which communicate with it through two long tubes. These no doubt represent the eyes. In the neck there is a small gland, possibly the thyroid. No. 230. Ovum; 75 x 60 x 5o mm. "embryo, ©. Ry 57 mm. Dr. West, Bellaire, Ohio. “The mother has had three children and three miscarriages. She always menstruates regularly during her pregnancy, and she has been undecided during the past seven months whether or not she was pregnant.” Upon opening the ovum it was found that the foetus is greatly cramped and imbedded in much granular magma. The cord is thin and knotted. The right leg has a club-foot and the left has a dislocated knee-joint. Evidently the em- bryo has been dead for a long time. The tissues of the embryo and membranes appear normal; they barely stain at all. The outer zones of the chorion are slightly infiltrated with leucocytes. The dislocated knee and the club-foot show that the car- tilages are markedly deformed, but on account of the absence of tissue reactions it must be concluded that this change took place after the death of the embryo. The liver, brain, spinai cord and eye are macerated, converted into a pulpy mass and do not stain. All of the epidermis has fallen off. Appar- ently the embryo died suddenly, for there are practically no tissue reactions to suggest the contrary. 3 No.1] ORIGIN OF HUMAN MONSTERS. 239 FIG. 230a. Fic. 230b. Fic. 230a.—Ovum cut open, showing embryo within imbedded in a mass of granular magma. Reduced. Fic. 230b—LEmbryo cleared of magma. Fic. 230c.—Arms and legs of embryo. Two views of each are shown. 240 MALL. [VoL. XIX. No. 232. Ovum, 45 x 25 x 25 mm.; embryo, C. R:, 14 mm. Professor Brodel, Baltimore. Most of the chorion is devoid of villi except that imme- diately over the attachment of the cord, which appears to be normal. The villi of the chorion are somewhat fibrous, with Fic. 232a.—Entire ovum with villi on one end. Natural size. blood-vessels less numerous than usual, and are covered with a rich layer of syncytial cells. The amnion reaches the chorion. The embryo is atrophic and is imbedded in a mass of granular magma, in which there are numerous round cells. Fic. 232b.—Embryo within the chorion. No. 1.] ORIGIN OF HUMAN MONSTERS. 241 Most of the epidermis has fallen off. The head is cylindrical in form, containing a solidified brain and dissociated eyes. The lenses are composed of broken cells surrounded by a very thick hyaline capsule. The organs of the body are not sharply defined, being filled with many round cells. The blood-vessels are mostly empty. Even the nerves and car- tilages have lost their sharp borders. The extremities are stubby, being composed of densely packed round cells which show no differentiation. No. 233. Mole, 70 x 45 x 40 mm. Dr. Miller, Hagerstown, Md. Brédel Collection. The irregular mass appears as an ovum filled with blood. Sections show, however, that there is a mixture without rhyme or reason of all kinds of deformed villi, blood, syn- Fic. 233.—External and cut surfaces of the mole. Natural size. 242 MALL. [Vov. XIX. cytium, decidua and pus. No doubt at its attachment to the uterus it received fresh blood into its center, while the leuco- cytes attacked it on its exterior. Most of the villi are encir- cled with fragmented leucocytes, which seem to have gained the upper hand. No. 243. Ovum, 30 x 20 x 10 mm. Professor Brodel, Baltimore. The specimen is pear-shaped with smooth thin walls, over which there are scattered a few thin villi. The whole speci- men was cut into serial sections and no trace of an embryo could be found. Fic. 243.—External view of ovum. Enlarged 2 diameters. No. 244. Embryo, 4 mm. long. From Dr. Kelly’s Sanatorium. Brodel Collection. The specimen is enclosed in the amnion, which measures 25 x 15 X I5 mm. and is surrounded by a mass of granular magma. No. 1.] ORIGIN OF HUMAN MONSTERS. 243 Fic. 244a—Embryo, surrounded with granular magma, attached to the amnion. XX 2 times. Fic. 244b—Section through the head of the embryo. X 20 times. one < Fic. 244c.—Section through the body of the embryo. X 20 times. 16 244 MALL. [Vor. XIX. The sections show that the amnion is attached along most of the ventral side of the embryo, somewhat as it is in the normal specimen at the end of the second week. ‘The central nervous system is still quite sharply defined, being more char- acteristic in the head than in the trunk. The heart is com- posed of a solid mass of cells in front of the embryo, which extends as a horn-like process to the head. Between the heart and the body there is large group of epithelial cells, in which there are scattered some small round cells, probably the rem- nant of the liver. Otherwise the tissue of the embryo is of even structure with an occasional necrotic area. The epidermis is mostly wanting. There is neither umbilical cord nor um- bilical vesicle present, the free embryo being attached to the amnion only. No. 246. Ovum, 30 x 21 x 14 mm.; embryo, 3 mm. Dr. Wegefarth, Baltimore. Brodel Collection. Dr. Wegefarth writes: “The woman from whom this specimen was obtained is the mother of two children, the youngest about seven years of age. Since then she has had five miscarriages, all of about the same age as this specimen. No history of syphilis, but have started to give her iodide of potash, with the hope that she may give birth to a child. I shall be glad to have you turn the specimen over to Professor Mall if it will be of any use to him. It would be interesting Fic. 246a—Ovum with window cut out of it, showing dense magma and embryo within. No. 1.] ORIGIN OF HUMAN MONSTERS. 245 if the great fire we had recently could have played any part in this trouble, as she felt well up to that time, and the fright due to the fear that the fire would burn out her neighbor- hood, too, kept her in a state of great excitement for about 24 hours.” The external surface of the ovum is normal in appearance, but when it was opened it was found to contain a deformed embryo lying beside a very large amnion. Sections of the chorion show that its structure is somewhat hyaline and the villi are devoid of blood-vessels. ‘The embryo and membranes were cut together and the sections show that the amnion is greatly hypertrophied, folded and torn, and that the embryo Fic. 246b.—Embryo covered with folds of the amnion. Io times. is deformed and injured but lying outside of the amnion. The heart and great blood-vessels are empty, the brain is distended and partly filled with round cells; together they give the appearance of an embryo of the beginning of the third week. No liver can be found, but there are loops of intestine present, as during the fourth week. ‘The otic vesicles are well defined, but the optic vesicles are wanting. No umbilical vesicle can be found, but this may have been lost when the amnion was torn. The amnion, however, runs down in a thickened ridge which contains two large blood- 246 MALL. [Vor. XIX. vessels and an epithelial tube, the allantois, between them. At no place is the amnion attached to the chorion, nor are there indications that they have been torn apart. No. 247. Ovum, 40 x 40 x 17 mm.; vesicle, 2% mm. yee, Dr. Seymour, Trappe, Md. Brodel Collection. The ovum was found filled with granular magma and in the center of this, far away from the chorion, a free umbilical vesicle was found. Sections of the chorion show that it is nearly normal in structure without any signs of an amnion on its inside. The villi are without capillaries. At points be- tween the villi the syncytial cells form mounds below the epithelium, which have a tendency to penetrate the mesoderm of the chorion. The pear-shaped body is probably the umbilical vesicle, with a cavity lined with epithelium and a considerable amount of mesoderm around it, in which there are numerous blood- vessels filled with blood. There are some accessory vesicles in this layer similar to those found in No. 78. No. 250. Ovum, Io x 9 x 9 mm.; embryo, 2 mm. Dr. Sampson, Baltimore. The specimen came imbedded in a mass of decidua, which was obtained by scraping the uterus. When opened it was found filled with magma reticulé, in which could be seen, immediately beneath the chorion, a small embryo, and further away, towards the center of the ccelom, the umbilical vesicle, The whole ovum was cut into serial sections. The chorion and villi are apparently normal in shape and structure, being also very rich in blood-vessels which are filled with embryo’s blood. The villi are bathed in mother’s blood and covered with an active syncytium. The decidua is some- what infiltrated with leucocytes, but there are no abscesses. The front end of the amnion is torn and its free edge and the embryo are imbedded in reticular magma, indicating that No. 1.] ORIGIN OF HUMAN MONSTERS. 247 the injury took place before the abortion. The general shape of the embryo and its degree of development are practically normal. The heart is well formed and it, with the blood- vessels, is filled with blood. The alimentary canal, brain, spinal cord, otic and eye vesicles, myotomes and branchial arches are much like embryo No. 12, which is practically a normal embryo of the beginning of the second week. The septum transversum is well marked and the thyroid gland is just beginning. Fic. 250a.—Ovum, opened to show the embryonic mass, within the decidua. about 2 diameters. Fic. 250b.—Section of embryo, encircled with magma, within the chorion. The amnion is torn. XX 17 diameters. 248 MALL. [Vor. XIX. Wn alin ee ne, Fic. 250c—Section of chorion, villi and decidua. There is a large quantity of mucoid mass between the villi. > 17 diameters. Fic. 250d.—Section through hind-brain, M, adjacent mesenchyme and epithelial lining of pharynx P, to show cytolysis and dissociation of the tissues. XX 250 times. No: 1.] ORIGIN OF HUMAN MONSTERS. 249 The tissues of the embryo, however, and the cavity of the front end of the brain are filled with numerous small round cells wth fragmented nuclei. All stages of fragmentation are seen, just as may be seen in the leucocytes in small abscesses. Most of the red blood cells are within the blood-vessels, but those within the tissues appear perfectly normal. On account of the diminished number of mesoderm cells, in fact, they <— Fic. 250e.—The dotted area in the section shows the portion which is enlarged in Fig. 250d. diminish in proportion to the number of fragmented cells present, the conclusion must be drawn that the latter arise from the former. The epidermis covers the whole embryo. The primary change in this specimen is no doubt in the mesoderm, for all the rest of the embryo appears normal. That the equilibrium was overthrown is indicated by the necrotic amnion and the great amount of reticular magma in the exoccelom. No. 251. Ovum, 30 x 25 x 25 mm.; embryo, C. R., 9g mm. Dr. Ritter, Brooklyn. Last period January 16, abortion April 3. Half of the chorion is covered with villi and the other half is bare, thick- ened and hemorrhagic. The amnion lines the entire chorion and the cord is very thin. Sections show that the mesoderm of the villi are rich in cells, fibrous and are devoid of blood- vessels. The main wall of the chorion is apparently normal, with a large number of vessels filled with blood scattered through it. The decidua is very extensive, is hemorrhagic and has a large number of abscesses in it. Apparently there was an extensive endometritis. 250 MALL. [Vor. XIX. Fic. 251a.—Embryo attached to the chorion. Enlarged nearly 2 diameters. Fic. 251b.—Section of the embryo. > 8 times. 251 ORIGIN OF HUMAN MONSTERS. No. 1.] “ONSSt} JUVOe {pe pue Sud] 24} YSno1y} WoIyIIaS o1Sz2 1] MALL. [Vor. XIX. to on to The head of the embryo is atrophic and is nearly filled with a distended, dissociated and macerated brain. The eyes are solid and the lenses have become dissociated, but they are encircled with sharply defined and thickened hyaline capsules. The brain is protruding behind the head. The heart and blood-vessels are distended and filled with blood. The organs and tissues of the body are not well defined, and are filled with round cells. The epidermis is wanting. The extremities are stubby, without structure and filled with round cells. The cartilages are sharply defined, and the liver appears to be about normal. No. 252. Embryo, 5 mm. long. Dr. Lamb, Washington. “First pregnancy in an unmarried woman twenty-three years old. Patient missed a month, then had free hemor- Fic. 252a.—Photograph of embryo, with amnion on one side and the thickened chorion on the other. Natural size. Fic. 252b—Section through the eye, small black spot in Fig. 2522. X 20 times. sE, eve 732 sbram: rhage which continued for a month, when the embryo was expelled.” This would make its age three months, counting from the last period. No. 1.] ORIGIN OF HUMAN MONSTERS. 253 This remarkable specimen shows to what extent an embryo may grow after its regular development has been arrested. The specimen came to me attached to a solid body, as the photograph shows, and it appears to be an embryo about three weeks old. The free end of the embryo is bent upon itself and runs to a point where two intensely black spots may be seen. Fic. 252c.—Section through the embryo at its attachment to the chorion. x 20 times. The membrane or body behind the embryo is undoubtedly the amnion curled up, for it is covered with epithelium on the side towards the embryo side, which continues over its body. On the other side the mesoderm, which is thickened and hyaline, is free, there being no border cells nor villi. Fig. 252d.—Section through the embryo below its attachment to the chorion. The body immediately beneath the epidermis is a solid lentoid struc- ture. The skin is markedly thickened, the epidermis sometimes forming small papillae, or are sometimes buried, forming pear-like bodies similar to those of epithelial cancer. Within 254 MALL. [Vor. XIX. the body there is a large cavity filled with round cells. Near the attachment to the amnion there are several such “‘abscess- like’ masses within the embryo. The pigment dots, on account of their position, undoubt- edly represent the eyes of the embryo. Each forms a small sac immediately below the skin filled with large free pigment cells. Deeper within the “head” of the embryo a band of pigment cells connects the two “eyes,” as may be the case if we consider these cells as the connecting optic nerves. No. 253. ~ Ovum, 35 x 30 X 15 mm.; embryo, 4 mm. Professor Broédel, Baltimore. Chorion and villi are somewhat hyaline, with indications of blood-vessels within them. Ammnion, which measures Ig x Fic. 253.—Embryo within the chorion. X 138 times. The collapsed bag behind the embryo is the amnion. 13 X 13 mm.,, is attached at one point, has hyaline walls and does not contain the embryo. The embryo is a swollen infiltrated specimen of the third week, with no brain and little of its spinal cord left. The No. 1.] ORIGIN OF HUMAN MONSTERS. 255 rest of the structures (heart, ceelom and Wolffian body) are quite sharply defined, but are all infiltrated with round cells. Most of the epidermis is intact. The arm buds are well defined. No. 255. Ovum, 20 x 20 x 10 mm. Professor Brodel, Baltimore. The villi are atrophic and fibrous. At points the syncytial layer is well mixed with leucocytes, which also have invaded some of the villi as well as the mesoderm of the chorion. The whole chorion was cut into serial sections, but no trace of an embryo was found. ‘There are no blood-vessels in the chorion, nor were any remnants of the amnion found. No. 257. Ovum, 55 x 40 x 40 mm., with a pedicle within, 14 x 2 mm., to which is attached a body 4 x 0.5 mm. Fic. 257.—Photograph of the specimen. > 1.5 times. 256 MALL. [Vor. XIX. From Mr. Lankford, Baltimore. A large portion of the chorion is covered with well formed and apparently normal villi; a portion is hemorrhagic and another is fibrous, appearing as though it had protruded through the os. Sections through this portion show that the villi are atrophic and have undergone fibrous degeneration. The chorion is thickened and the decidua is infiltrated with leucocytes. The inside of the chorion is lined with epithelial cells, which are continuous with those over the cord; it appears as if the amnion had become completely blended with the chorion. The cord is also fibrous, with some spots which have under- gone mucoid degeneration. It contains three large blood- vessels,—a vein and two arteries. The body at the end of the cord is simply its continuation, with the umbilical vein running throughout it lengthwise. No. 261. Chorion, 120 x 70 x 70 mm.; embryo, about 90 mm. long. Dr. W. M. Lewis, Baltimore. Fic. 261a.—External view of specimen. Three-fifths natural size. No. 1.] ORIGIN OF HUMAN MONSTERS. 257 The ruptured and distorted foetus, which no doubt had been dead for a long time, is imbedded in a mass of granular magma. Sections of the placenta show that the villi and chorion are very fibrous and almost devoid of syncytium. The umbilical cord is somewhat fibrous, with blood-vessels within filled with Fic. 261b.—Fecetus within its membranes. - Reduced. blood. The decidua contains large sinuses and is also well filled with round cells. The tissues of the hand and skin are somewhat infiltrated with round cells, but other changes within them are not marked. It appears as if the embryo died quite suddenly, and therefore there are no marked tissue reactions. No. 262. Mole, 80 x 15 x I5 mm. Dr. Giering, Baltimore. The specimen was several days old when it came into my hands and was then hardened in formalin. The interior is 258 MALL. [VoL. XIX. Fic. 262a,—Photograph of the mole. Natural size. Fic. 262b.—Section of the embryo. Enlarged about 10 times. No. 1.] ORIGIN OF HUMAN MONSTERS. 259 filled with a large amount of granular magma, in which is imbedded a necrotic embryo, 14 mm. long. The decidua is filled with small abscesses, the leucocytes invading the villi as well as the main walls of the chorion. The changes in the embryo are extreme, the nervous system being solid, filling up the stumpy head. The outlines of the organs are hazy, they being filled more or less with round cells. The embryo is falling into pieces; some of the ep1- dermis is still intact. No. 263d. Ovum, 27 mm. in diameter; embryo, C. R., 15 mm. Dr. Lyman, Baltimore. The villi are apparently normal in form and in structure. Possibly the mesoderm is a little fibrous. The blood-vessels appear to be normal. ‘The cord is dilated, showing the double enlargements, which are mucoid in structure. The brain and spinal cord are dissociated, with the brain protruding into the mouth, but the other organs are fairly = Fic. 263d a—Embryo within the ovum. X 2 times. 260 MALL. [Vor. XIX. well outlined. The heart and large blood-vessels are filled with blood and there is some infiltration of the surrounding tissues with round cells. The epidermis has fallen off. The changes within the embryo may be due to maceration, but on Fic. 263d b.—Sagittal section of the embryo. X 7 times. . account of the sharply defined tissues of the chorion and slight amount of fibrous changes in the villi and the mucoid dilata- tions in the cord with some wandering cells in the tissues, I am inclined to think that this specimen represents the earliest stage of a strangulated embryo of the sixth week. No. 1.] ORIGIN OF HUMAN MONSTERS. 261 Fic. 264.—Section of the vesicle attached to the chorion. X 15 times. 262 MALL. [Vo.. XIX. No. 264. Ovum, 25 x 20 x 15 mm., with a cavity within 10 mm. in diameter. Dr. Gardner, Baltimore. “Last period occurred on August 12; abortion October 9; but the menses had been irregular for three months before.” The ccelom is filled with hard hyaline magma, rich in round cells, in which is imbedded the umbilical vesicle measuring 21% mm. in diameter. The chorion is thickened and fibrous and is covered with some villi, which are also fibrous. The vesicle shows all the characteristics of the umbilical vesicle and is attached to the chorion by a thick fibrous pedicle. At the point of juncture it is rich in large blood-vessels filled with blood. These radiate into the surrounding chorion, but do not reach into the villi. No. 268. Embryo, ©. Rey 22mm: Dr. Kammerer, New York. The form of the embryo is normal, but its body is straighter than usual. It was hardened in formalin and some of the tissues are well preserved, but others, ¢. g., brain, liver, lungs and muscles, are dissociated. The blood-vessels are filled with blood and there are no wandering cells in the tissues. Compare the form of this embryo with that of No. 256, Plate IIT, Fig. 8. No. 270. Ovum, 40 x 30 x 30 mm.; embryo, C. R., 14 mm. Dr. Wilson, Baltimore. The chorion is only partly covered with villi, which are atrophic and fibrous in structure, but contain some blood- vessels in them. The main wall of the chorion is also fibrous and of irregular thickness, with some blood-vessels in it. The amnion has reached the chorion and is filled with granular magma, which completely envelopes the embryo. The central nervous system is distended, dissociated and macerated. The large blood-vessels and heart are distended (05 pt || ORIGIN OF HUMAN MONSTERS. 203 Fic. 268.—Photograph of the embryo. X 4 times. FIG. 270a. Fic. 270b. Fic. 270a.—Photograph of the ovum. Natural size. Fic. 270b.—Embryo within the chorion, containing granular magma. 2 tines: 264 MALL. [Vor. XIX. with blood and the tissues of the body are somewhat infil- trated with round cells. The outlines of the organs are slightly obscured, but some of the tissues of the body are sharpened by the process of maceration, which does not seem to have been of long duration. Soe Fic. 270c.—Sagittal section of the embryo. X 7% times. No. 275. Ovum, 40 x 30 x 25 mm.; embryo straightened and about three weeks old. Dr. Tobie, Portland, Me. The chorion: of this specimen, thought to be two months old, is thin and covered with some villi which are imbedded in much blood. In structure it is fibrous, with a diminished amount of syncytium upon it, and contains no blood-vessels. Within there is a cavity, the amniotic, filled with a clear fluid, into which the deformed embryo projects. The exo- No. 1.] ORIGIN OF HUMAN MONSTERS. 205 ccelom is from two to three millimeters wide, and is filled with typical magma reticule. The structures of the embryo form almost a continuous mass of tissue, in which the irregular central nervous system Fic. 275a.—Photograph of the ovum. Natural size. Fic. 275b.—Photograph of sections of the ovum, showing the embryo in one of them. Natural size. can still be outlined. Enough is left to show that the speci- men began to become infiltrated towards the end of the third week. Most of the epidermis is still intact. The lenses of the eyes form small pearls enclosed in capsules lying beneath the 266 MALL. [Vo. XIX. Fic. 275c.—Section of the head-end of the embryo, amnion and chorion. x 15 times. skin. In front of them there are two small bodies connected with the epidermis, which might pass for lenses, but are prob- ably changed olfactory pits. Ina number of places the tissues are fibrous. No. 276. Ovum, 70 x 35 x 35 mm.; embryo, 13.5 mm. Dr. Stanley;-Portiand=Me. Dr. Stanley writes that the time between the last menstrual period and abortion is 80 days. The walls of the chorion are partly infiltrated with blood and on one side is closely adherent to a fleshy mass—the de- cidua. Sections of these regions show that the decidua has large blood sinuses and numerous small abscesses in it. The villi of the chorion are imbedded in a mass of blood, are covered with a normal amount of syncytium, but in structure they are fibrous and devoid of blood-vessels. In addition, No. | ORIGIN OF HUMAN MONSTERS. 267 Fic. 276a.—Photograph of the ovum. Natural size. Fic. 276b.—Interior of the ovum, showing broken embryo on one side of it. Natural size. 268 MALL. [Vou. XIX. they are invaded at numerous points by the syncytium, which forms in them small vesicles, lined with two layers of cells, and often filled with dense masses of small round cells. These vesicles are very numerous and usually communicate with the Fic. 276c.—Section of the embryo. 8% times. surface of the villi by means of bands of epithelial cells. The walls of the chorion are in apposition to those of the amnion, but they are not invaded by syncytium. The changes within the embryo are equally remarkable. The spinal cord is dilated and dissociated; the medulla is No. 1.] ORIGIN OF HUMAN MONSTERS. 269 solid, fills the entire head and protrudes from an opening formed by the destruction of the forepart of the head. In front of this opening the atrophic upper jaw may be seen, containing nerves, and behind the epidermis has grown into a small ridge, encircling the opening. What has taken place in this embryo took place mechanically in No. 256 (see Plate III): The outlines of the organs are not sharp, but those of the precartilages are very definite. The blood-vessels are greatly dilated and filled with blood cells, which make them look like abscesses. They are especially well marked along the line from the umbilical cord to the heart. In their imme- diate neighborhood there is more or less infiltration with round cells. The smaller veins and arteries are still filled with blood. No. 278. Ovum, 6 x 4 mm. Dr. Stanton, Albany, N. Y. “This specimen was found accidentally in curettings from a woman supposed to have chronic endometritis following preg- nancy. There is nothing in the history by which the age of the specimen could be estimated.” Part of the specimen had been cut into sections before the specimen was sent with the statement that no embryo had been found, it having fallen out. I found that the half sent contained a ccelom, 3 x 2.5 mm. filled with magma, in which there was a cavity about 1.5 x I mm. Sections showed that the cavity was natural and not sharply defined, without anything to indicate that an embryo had been in it. On the contrary, it was found that the magma reticulé was filled with a loose net-work of mesoderm cells, which bound one side of the chorion with the other, as indi- cated in the diagram which is from a reconstruction. These cells are directly continuous with those of the mesoderm and resemble them in every particular. At one point there is a small group of epithelial cells, which may represent what was originally the embryo. Otherwise the chorion and its villi are normal in appear- ance, being encapsulated in decidua which has in it some [ Vou, XDEX: MALL. "souuty SI X ‘enploap pue wniyAouAs YIM WMNAO 934} FO UOT}as B JO ydeisojoyg—eglz “DI No. 1.] OKIGIN OF HUMAN MONSTERS. 271 Fic. 278b.—Outline of the main wall of the chorion, C, showing the strands of mesoderm, M, that cross the ccelom, in which there is a small epithelial mass, E, possibly the remains of the embryo. xX 18 times. Fic. 278c.—High power drawing of the epithelial mass, strands of meso- derm and chorion. > 50 times. Fic. 278d.—The epithelial mass. X 500 times. ‘goeds Sno][IAraquL “G'y7 fpuels outsayn * ‘JassaA-poolq ‘4g ‘umizAouds “¢ tS enproep ‘J apoaHoat CIE ReneS WO ‘seu of KX “enproap oy} 0} UOlIoYyD dy} Jo JUaUUTYIeyYW—oIgZe “OT [Voz XIX. MALL. 272 No. 1.] ORIGIN OF HUMAN MONSTERS. 273 uterine glands. All in all, this specimen reminds one of Peters’s ovum very much. ‘There are some leucocytes in the decidua, but no accumulations of them, indicating inflamma- tion of the uterus. I consider this specimen one in which the embryo has been destroyed, leaving a normal chorion without an embryo. No. 279. Fleshy chorion, 100 x 60 x 60 mm. Into the cavity the umbilical cord, 30 x 5 mm., projects. Dr. Kemp, Baltimore. Part of the chorion is hemorrhagic; the rest appears nor- mal. Sections show that the villi are nearly normal, with a deficient amount of syncytium over them, even where they are well imbedded in blood. Within there is an amnion, and the worm-like process which proves to be the umbilical cord, with its three blood-vessels. The vessels are well developed Fic. 279.—Photograph of a section of the specimen showing the cavity and cord within. Slightly reduced. 274 MALL. [Vor. XIX. and fully one millimeter in diameter; there are also numerous vessels in the villi of the chorion. The tissue of the chorion is hyaline, with a diminished number of nuclei in it. Undoubtedly the foetus escaped in some way shortly before the abortion, the membranes and cord remaining some time, long enough to undergo these changes. The blood-vessels of the cord and chorion are empty, but well developed. No. 280. Mole) 40x25 3.25 0m: Dr. Magness, Baltimore. Within the mole, which is said to be five or six weeks old, Fic. 280.—Photograph of the mole. 1% times. there is an irregular cavity with smooth walls, measuring 10x 5x 5 mm. Sections were cut of the thick hemorrhagic walls, which showed that the walls of the chorion are thin, with considerable reticular magma attached to them on the inside. No amnion was found. The villi are not very large, are well developed, contain remnants of blood-vessels and are covered with a mass of necrotic syncytium. The blood and mucus over the syncytium is filled with leucocytes, which invade the mesoderm of many of the villi. It is probable that the whole ovum has been dead for several weeks, the embryo and the amnion having been destroyed entirely. No. 1.] ORIGIN OF HUMAN MONSTERS. 275 No. 285. Ovum, 45 x 35 X 35 mm.; embryo, 8 mm. Dr. Keown, Baltimore. “Tast menstruation October 9 to 12; abortion December 20, 1904. The specimen came away unbroken, was washed in water and placed in alcohol. There is reason to believe that conception did not take place until the time for the period which lapsed. The mother insists that this is the case, and, ‘nasmuch as all three of her children had diphtheria at that time it is probably true.” The chorion is mostly bare, with some hemorrhage in its walls. The villi which are left are very fibrous, with but few blood-vessels within them. The syncytium over them is very active, and at numerous points it is heaped up in small] mounds, which form depressions, making it appear as if they Fic. 285a.—Photograph of the embryo and chorion. Natural size. are about to invade the mesoderm of the villi as well as that of the main wall of the chorion. The amnion fills the entire chorion. Between the villi there is a reticular arrangement of blood and mucus, in which there are numerous leucocytes. The syn- cytial bodies enter this reticular mass at numerous points and make a very remarkable picture. 18 276 MALL. [Vor. XIX. The embryo has an atrophic head and cord, showing, how- ever, enough structures to fix its age at four weeks. The spinal cord is dilated and dissociated and the brain is solidi- fied, filling the entire head. The eyes are destroyed. The blood-vessels are enormously distended with blood, which also fills the tissues of the body, obscuring them to a great extent. The epidermis is intact. Fic. 285b.—Section of the embryo. X 13 times. ORIGIN OF HUMAN MONSTERS. 1.] No. een them. i with mucus betw iG. 285c.—Photograph of vill F ecytes and iG. 285d.—Section of a fibrous villus which is invaded by leuc 4 I M. XX 250 times. and mucus, S, adjacent syncytium, 278 MALL. [Vor. XIX. No. 286. Chorion, 100 x 50 x 40 mm. Dr. Girdwood, Baltimore. This remarkable specimen must have been dead in the uterus for about five months, the last period having taken lic. 286a—Photograph of the entire specimen. Natural size. place during the latter part of May and the abortion on the 4th of the following January. The chorion thickens as it passes into the large fleshy pla- centa on one side and is very thin on the other. The thin No. 1.] ORIGIN OF HUMAN MONSTERS. 279 twisted cord enters the chorion at the border of the placenta. The embryo is well imbedded in granular magma. Sections from the placenta at the point the cord enters it show a most remarkable reaction. The amnion is folded upon itself and has undergone hyaline degeneration. The chorion is also hyaline and is infiltrated with leucocytes and syncytium. The villi are fibrous, with numerous spots of hyaline matter scattered through them. With them the lining cells of the large blood-vessels show remarkable growth, forming small Fic. 286b.—Photograph of the embryo. Natural size. pearls of endothelial cells. They are also invaded by syncy- tial cells at some points and at others by masses of leucocytes. Between the villi there is a great mass of necrotic syncy- tium mixed more or less with fresh blood. Throughout this general mass numerous small islands of active syncytium may be seen; there are also a great number of scattered leucocytes Sections of the cord, abdominal viscera and hand show that the embryo must have died quite suddenly, for there are no tissue reactions seen in them. However, the tissues do not stain well, the epidermis has fallen off and the large blood- vessels are filled with blood containing the proper number of leucocytes. Fic. 286c.—Section of a villus. 62 times. V, villus; N, necrotic villi and syncytium; H, hyaline degeneration of mesoderm and syncytium; X, peculiar masses of cells in the mesoderm, probably degenerated blood-vessels. No. 288a. Ovum, 85 x-3'5 x 35.mun: ; embryo, °C: se emm. Dr. Brille, Baltimore. On one end of the chorion there is a space (30 x 30 x 5 mm.) filled with reticular magma. Within this, and pushed to one side, a collapsed amnion may be seen, containing the embryo. The entire mole is surrounded by decidua and pus, in which there is the collapsed ovum. The intervening space is filled with blood through which ramify a few long slender villi. These are fibrous and devoid of blood-vessels. At points they are invaded by syncytium and leucocytes. The amnion, which is also fibrous, is partly filled with magma reticulé and is very rich in degenerated migrating cells No. 1.] ORIGIN OF HUMAN MONSTERS. 281 Fic. 288a b.—Photograph of sections of the mole, showing the embryo pushed to one side. Natural size. 282 MALL. [VoLt. XIX. from the embryo. The embryo is pushed to one side of the chorion and is pretty well dissociated, but the tissues are sharply enough defined to recognize that the embryo is not over six weeks old. They are well infiltrated with round cells which extend into the surrounding magma; there is no epidermis present. No. 289. Embryo of the fourth week, 8 mm. long. Dr. Brille, Baltimore. The specimen is distorted and macerated and it is impos: sible to determine definitely whether or not it is normal. No. 290. Mole, 50 x I5 x 10 mm. Dr. Warren, Portland, Me. The specimen is said to be from a six weeks’ gestation, and the abortion is believed to have been induced by some emmen- agogue. Sections were cut from different portions of this Fic. 290.—Photograph of the mole. XX 2 times. irregular mass and the remnants of a few villi were found, which were more or less infiltrated with leucocytes. The bulk of the mole is composed of decidua, mucous membrane of the uterus, blood, fibrin and pus. No. 1.] ORIGIN OF HUMAN MONSTERS. 283 No. 291. Embryo, 5 mm, Dr. Wegefarth, Baltimore. Brodel Collection. The membranes are devoid of villi and very thin. The umbilical vesicle is necrotic and filled with an irregular mass. Fic. 291.—Embryo attached to the chorion. X 4 times. Sagittal sections of the embryo show that the specimen is pathological, its head being rounded and the epidermis having fallen off. The spinal cord is distended and the brain is solid. Veins and arteries are greatly distended with blood. Eye vesicles are atrophic, and the lenses are dissociated, but encir- cled by a sharply defined capsule. No. 292a. Ovum, 50 x 30 x 30 mm.; embryo, 3%4 mm. Dr. West, Bellaire, Ohio. “The ovum is from a woman thirty-one years old, who has been married for ten years, but never had been pregnant before. Last period November 10, and on December 24, after a hard day’s work, she had a sudden gush of blood, and since then has been wasting at times. The ova was expelled Feb- ruary 4.” 284 MALL. [VoL. XIX. The chorion is partly covered with long villi, which are fibrous in some places and cedematous in others. The amnion within, which fills the entire ovum, is partly filled with gran- ular magma, through which can be seen the outlines of an atrophic embryo. Sections of it show that the brain and Fic. 292a a.—Photograph of ovum. Natural size. Fic. 292a b.—Photograph of the embryo lying within the magma. X 7 times. No. 1.] ORIGIN OF HUMAN MONSTERS. 285 most of the spinal cord have been destroyed; at one point the cord ramifies through the embryo. In the middle of the em- bryo the aortae and ccelom are sharply defined, but elsewhere the tissues are entirely obscured by numerous round cells. The epidermis is intact. No. 293. Embryo;.C. Re, 194mm. Dr. Lamb, Washington. Dr. Lamb writes: “Yesterday I sent you an embryo aborted at the third or fourth month of pregnancy. I trust that it may be of interest to you. It is from Dr. Munson, of this city. Fic. 293a.—A photograph of the embryo. X 4 times. “T send it more particularly, however, to get some informa- tion. I myself cut it out of the ovum, so that I know that its 286 MALL. [Vor. XIX. lic. 293b.—Section through the swelling in the back of the embryo, show- ing the blister of the epidermis. XX 12 times. No. 1.] ORIGIN OF HUMAN MONSTERS. 287 condition was not caused by any rough handling. ‘The sac contained some fluid in which were many flocculi, which no doubt are the absent portions of the embryo. Along its spine the embryo is whitish, but for the remainder was dark. Now I do not understand that micro-organisms played any role in this case to bring about the condition of the embryo, but it is only a maceration produced by the surrounding fluid medium. Still, I feel some doubt about my being correct, because I have seen sO many cases in which there was no evidence of such maceration. In fact, the condition of this embryo is rather exceptional in my observation. Apparently the soft visceral parts have first given way to whatever cause it was. Per- haps to you this is a trivial matter, but I would like to know what you think of it.” Sections of the embryo show that all of the tissues are normal in form and in structure, with the exception of a great excess of round cells within them. Especially is this true on the top of the head and along the back of the embryo. The cedematous mass on the back is as a blister with the epidermis lifted off. It is filled with a granular mass, within which there are but few cells. All of the blood-vessels of the embryo are distended with blood; there is also a great quantity of blood within the pericardial cavity and some within the ven- tricles of the brain. Possibly this condition accounts for the excess of round cells in all of the tissues, but it cannot very well account for the condition on top of the head and along the back. Here there is a most decided infiltration of cells. No. 295. Foetus with pointed head. Dr. Miller, Hagerstown, Md. Brodel Collection. The vessels going to the vertex are much enlarged. The scalp of the protruding vertex is very hemorrhagic, the blood filling the subcutaneous tissue as well as that of the skin. The embryonic hair follicles appear to be normal, but the epidermis is also infiltrated with blood cells, and is crumbling off in flakes. 288 MALL. [Vor. XIX. Fic. 295a.—A photograph of the head. Natural size. Fic. 295b.—Photograph of a section of the head. Natural size. 289 MONSTERS. ORIGIN OF HUMAN 1.| No. ‘soul, SI X ‘eAIqUIa 94} JO UOlIVG—qZ6z “DIT ‘Soull] 9 X ‘OAIGLUA 94} Jo ydeisojoyg—v6z 3) 290 MALL. [Vot. XIX. No. 297. Embryo, 6 mm. long. Dr. Lamb, Washington. This specimen was removed from the uterus with a curette and is said to be nearly three months old. The distorted embryo is of the three-weeks’ stage and shows extreme changes in its organs and tissues. The chorion is thin and atrophic. There is no trace of an umbilical cord, but instead the embryo sits upon the amnion. The spinal cord is dilated and the brain is fully dissociated, filling up the stumpy head entirely. The blood-vessels are much dilated with blood and all of the tissues are infiltrated with round cells which deform the organs and obscure their outlines. The mandible is nec- rotic and the distended medulla reaches almost to the mouth. No. 298. Tubal pregnancy. Dr. Pearce, Albany, N. Y. “T am sending you by this mail a Fallopian tube removed at an operation on March 13. The tube shows rupture over an hemorrhagic swelling. The clinical diagnosis is rupture of ectopic pregnancy. It is from a young woman, aged twenty-six, married, who states that the last menstruation was three weeks before the operation. The surgeon is positive that it is a case of ectopic pregnancy. I am not so sure of the diag- nosis, but with the history given I thought it worth while to send it to you, without close examination, etc.”’ I found two nodules, each about 10 x 6 mm., one hemor- rhagic and the other with hemorrhagic walls with villus-like bodies upon it. This second body has a lumen—the ccelom (?). Neither of them contained any trace of an ovum. Then the ends of the rupture were cut into serial sections, and in one of them the remnants of the ovum were found. It is about 4 mm. in diameter, composed of small fibrous villi surrounded by an irregular syncytium, decidua and blood. Some of the villi are invaded by leucocytes. No. 1.] ORIGIN OF HUMAN MONSTERS. 291 Fic. 2908.—Section of the tube containing remnants of the chorion and villi. 19 292 MALL. [VoL. XIX. No. 299. Ovum; 16 x 12: x TOMI. Dr. Burns, Memphis, Tenn. The specimen, apparently normal, is filled with a mass of dense magma reticulé. Serial sections failed to show even a remnant of an embryo. ‘The structure of the chorion and villi is normal, possibly a little cedematous. No blood-vessels are present. No. 302. Ovum, 25 x 20 x I5 mm.; embryo, 4 mm. Professor Brodel. The ovum is apparently normal, being covered with irregu- lar villi. Sections show, however, that the villi are fibrous, with remnants of blood-vessels within them. The syncytium is very active and is imbedded in a reticular mass of mucus rich in leucocytes and pus. Itc. 302.—Section of the embryo. XX 16 times. No. 1.] ORIGIN OF HUMAN MONSTERS. 203 Within the chorion there is a vesicle (amniotic) one centi- meter in diameter imbedded in much magma reticulé. This in turn is filled with granular magma, in which there is an embryo about 3% weeks old. The umbilical vesicle is de- generated and lies in the reticular magma. The blood-vessels and tissues of the embryo are gorged with blood and the outlines of the organs are obliterated. The brain is solid and the spinal cord is distended and dissociated. The eye vesicle and lens are nearly destroyed. The umbilical cord is very short and wide, without marked blood-vessels, but it is infiltrated with round cells. No. 304. Ow, 5-5 X73 i, Dr. Hunner. Brodel Collection. The specimen is surrounded by some of the decidua and much mucus, which is well infiltrated with leucocytes. The Fic. 304a.—Photograph of half the ovum containing the embryo. > 4 times. villi and chorion are apparently normal, with remnants -of blood-vessels within them, and they are covered with an active syncytium. The decidua is encircled with pus and fragments 204 MALL. [Vou. XIX. Fic. 304b.—Section of the whole ovum encircled by the decidua. XX Io times. Fic. 304c—Section of the villi and surrounding tissue. XX 65 times. D, decidua; S, syncytium; V7, villus; Ch, chorion; M, mucoid sub- stance rich in leucocytes. No. 1.] ORIGIN OF HUMAN MONSTERS. 205 of uterine mucous membrane, showing that an extensive in- flammatory deposit cuts off the normal nutrition of the ovum. The ovum is partly filled with magma reticulé, in which there is imbedded an umbilical vesicle two millimeters in diameter attached to the remnants of an embryo, without myotomes. The neural canal is present and the body runs out into a stem, containing a tube (allantois), which does not attach itself to the chorion. There are also remnants of an amnion present. All in all, the embryo appears to be much like Graf Spee’s specimen, which is 1.54 mm. long. There is no trace of a heart, but there are numerous blood islands in the umbilical vesicle and there are remnants of plood-vessels in the chorion, showing that the two were con- nected at an earlier date. No. 307. Ovum, 40 mm. in diameter ; embryo, 20 mm. long. Dr. Coe, New York. The chorion and villi are imbedded in an hemorrhagic mass, and the latter do not appear normal; they are often surrounded by small. clumps of leucocytes, which invade the mesoderm of the villi. The embryo was said to have been a beautiful normal one, but it had been harshly treated and practically ruined before it came to me. Sections of the embryo show that the tissues are macerated and distorted and probably normal. No. 308. Fetus, C. R., 84 mm. Dr. Ballard, Baltimore. “Without any previous bleeding, on February 28, 1905, the fcetus as you have it was passed suddenly, accompanied by the usual amount of hemorrhage. Probably one-half of the placenta was retained, and was removed by curettement. Patient is regular in menstruation, and previous to miscar- riage menstruated November 19,:1904. She has one boy who will be thirteen months old May 10, 1905, and another 206 MALL. [Vor. XIX. Fic. 308.—Photograph of the foetus, showing the cord wrapped around its arms, with a mass of granular magma in the amniotic cavity. Natural size. No. 1.] ORIGIN OF HUMAN MONSTERS. 207 son sixteen months older; no other children nor miscar- riages.” [The woman aborted again on November 27, 1905 (speci- men No. 325), and the ovum proved to be decidedly path- ological. On December 31, 1906, after being pregnant for five months, she was taken with penumonia and aborted on January 4. The placenta was strongly adherent and was removed with difficulty. She died January 7, 1907. Appar- ently this foetus was normal, but it was not sent to the labora- tory. | After the abortion Dr. Ballard found that the woman had an interstitial fibroid, somewhat diffuse in shape, in the anterior uterine wall. During some years she had some otorrhcea. There is no reason to suspect that her husband has ever had gonorrhoea or syphilis. The specimen appears to be normal, but when I opened the amnion, which had not been torn, I found it filled with a mass of granular magma, some of which is shown in the illustra- tion. The cord is well tied around the arms, indicating that the fcetus had been doing some lively jumping. Sections of the placenta, at the point the cord enters it, show that the villi are fibrous (7?) and covered with-an active syncytium, which is imbedded in bloody mucus containing large num- bers of clumps of leucocytes with fragmented nuclei. The tissues of the cord appear to be normal; the blood-vessels contain but few blood cells. No. 309. Dr. Steensland, Syracuse, N. Y. Ovum, 23 x 20 x 20 mm.; embryo, 4 mm. The specimen, apparently normal, had been in alcohol for three or four years, but has been well preserved. The amnion filled the entire chorion, otherwise the interior also appeared normal. Section showed, however, that the dilated amnion was accompanied with marked changes in the embryo. All of the tissues of the embryo are infiltrated with round cells, obliterating, to a great extent, the organs and tissues. The 208 MALL. [Vor. XIX Fic. 309a.—Photograph of the ovum. X 2 times. . Fic. 309b.—Interior of the chorion, showing the embryo. > 4 times. No. 1.] ORIGIN OF HUMAN MONSTERS. 209 central nervous system is markedly dilated and filled with round cells. In front the walls are broken and the round cells are extended into the tissues of the front of the head. The eye and ear vesicles are also dilated and filled with round cells. No trace of a lens is seen, and the ear vesicle has two sprouts on its ventral side. The whole epidermis is intact. No. 310. Ovum, 18x 14 xX 14 mm. Dr. Watson, Baltimore. The specimen is covered with villi which in sections proved to be markedly changed. The mesoderm is hyaline, with vacuoles in which there are free nuclei. The epithelial layer is irregular and invades the wall of the chorion as well as Fic. 310a.—Exterior of the ovum. X 2 times. Fic. 310b.—Interior of a piece of the ovum, showing a large lump of magma. XX 2 times. [Vov. XIX. MALL. 300 mass of syncytium me ar eral showin J 3 cs je) == e i) a ue} 3) ok (ogo xz} 3 SoH (es {e) o— a @ aay wie Salis! OLS S) ae © = 0 Ua ulo~Y op) on S Bis} Ong Fhe S Fic. No. 1.] ORIGIN OF HUMAN MONSTERS. 301 Fic. 310d.—Section of a villus. < 250 times. S, syncytium. some of the villi. The villi are vacuolated, contain some blood-vessels, and are covered with a fairly active syncytium. Over this there is a mass of mucoid fibrin rich in leucocytes. The interior of the ovum is filled with magma reticulé, and contains no trace of an embryo nor amnion. No. 311. Ovum, 36 x 30 x 30 mm.; embryo, Gakero 5 mati: Dr. Watson, Baltimore. The walls of the chorion are thin and covered with a few scattered and irregular villi. Sections show them to be in all stages of degeneration, the large ones with blood-vessels and a rich syncytium, and the small ones, which are fibrous, devoid of syncytium and infiltrated with leucocytes. The spaces between the villi have a considerable amount of blood between them, and where this comes in contact with an active syncytium the nuclei of the leucocytes are fragmented; else- where they are not. Portions of the main wall of the chorion are very thin, fibrous and devoid of an epithelial covering. Throughout the amnion is in contact with the chorion and is often blended with it. . Within the amniotic cavity there 1s a mass of granular magma which could be seen through the thin walls of the chorion before it was opened. Fic. MALL. [Vou. XIX. Fic. 311a.—Ovum covered with ragged villi. >< 1% times. 311b.—Interior of ovum with embryo imbedded in granular magma. No. 1.] ORIGIN OF HUMAN MONSTERS. Fic, 311Ic.—Section of Fic. 311d.—Sagittal section through the middle line. < 6 times. 303 < 6 times. 304 MALL. [VoL. XIX. Fic. 311e——Section of the chorion, showing blood clots between the villi. Bie: 2 times. 310 MALL. [ Vou. DIDS Fic. 320c.—Sagittal section of the embryo. X 8 times. 311 ORIGIN OF HUMAN MONSTERS. ‘soluly] O1 X 'P JOO [eorprquan oy} Jo 4 ied pur uol Joys oy} fo UOTIIS ‘poze “Ory 312 MALL. [Vov. XIX. © alimentary canal are obscure and its epithelial lining is nearly lost. The blood-vessels are distended with blood in an ir- reeular fashion. The liver is necrotic and free from blood. The tissues of the body are all dissociated, which condition obscures the muscles and nerves and sharpens the outlines of the cartilages. The epidermis is intact. No. 321. Ovum, 40 x 40 x 20 mm.; embryo, 2 mm. Dr. Wentz, Hanover, Penna. The ovum is covered entirely with villi and contains some reticular and much granular magma. The whole chorion is lined by the amnion and the embryo is attached to it at its middle. Traces of the central nervous system can still be seen, and in front of it there is a structure which may repre- sent the heart encircled by a large space, the ccelom, this ex- Fic. 321a—Photograph of the ovum. X 2 times: No. 1.] ORIGIN OF HUMAN MONSTERS. 313 Fic. 32tb—Embryo attached to the chorion. X 4 times. tending to the umbilical cord. The tail end of the embryo is nearly solid. A large share of the dissociation may be due to the dilute alchohol (50 per. cent) in which the embryo had been placed ten days before I got it. This, however, could not alter the general shape of the embryo and its attachment to the chorion. Fic. 321c—Section of the embryo, main wall of the chorion and villi. x9 times. 314 MALL. [Vor. AIX. No. 323. Pear-shaped hydatidiform mole, 120 x 90 x 65 mm. Dr. Van Williams, Baltimore. The fresh specimen was brought to the laboratory and was found to be composed of enlarged villi, most of which meas- ure about 5 mm. and a few fully 20 mm. in diameter. On one end the specimen is fibrous, from which the villi extended into a bloody mass. Fic. 323—Photograph of the mole. Natural size. The villi are very irregular in form, the mesoderm being hyaline, in which there are numerous spindle-shaped nuclei. Some of the “large villi” have in them a lumen which has all of the characteristics of the ccelom; in fact, it appears as if the main wall of the chorion ramified in all directions with the growth of the villi. One of these openings is 15 x 10 mm. and another just beside it is 7 x 2 mm. in diameter. No. 1.] ORIGIN OF HUMAN MONSTERS, 315 Between the villi there are great masses of necrotic syn- cytial cells. There is more or less blood between the villi and occasionally small masses of leucocytes may be seen. A few of the villi are being invaded by their epithelial coverings. No. 324. Ovum, hemorrhagic and fleshy, 45 x 45 X 22 mm.,; embryo, rounded and 3% mm. long. Professor Brédel, Baltimore. The walls of the chorion are thin and fibrous and are lined by the amnion. The villi are few in number, fibrous, devoid of syncytium and imbedded in a large quantity of blood. Un- fortunately the embryo was lost while being imbedded, but the excellent drawing of it tells pretty well that its tissues and organs are markedly changed and deformed. No. 325. Ovum, 55 x 55 x 35 mm.; embryo, CeRee73 mim: Dr. Ballard, Baltimore. “The specimen was obtained from the same woman that gave No. 308. Last menstrual period, September 15; abor- tion, November 27, 1905. Periods regular monthly.”” The specimen was clean, well covered with villi and well hardened ‘n formalin. The amnion and ccelom are filled with magma reticulé, in which is embedded the trunk of an embryo at- tached to the chorion by a thin cord. On the opposite side of the ovum the head is located, also imbedded in magma. Over the body of the embryo there is a greenish-colored nodule 4 mm. in diameter, which proved to be the degenerated um- bilical vesicle. The legs are poorly formed and stubby. Sections of the chorion show that the mseoderm of the villi is hyaline, in which remnants of blood-vessels may be seen, with a normal number of round nuclei scattered through ite The syncytium also appears to be normal. Between the villi some mucus may be seen, in which there are leucocytes. No decidua is attached to the villi. The cord is thin at its attachment to the chorion, and it is slightly enlarged midway between the chorion and the em- MALL. [Vor. XIX. 316 Collapsed ovum _-, with embryo SRE SRO WANS 7 PSS pe ~ y; y) YY Yi Yi WWE: LY Y 4 “4 MX \Y +4 A \S Fic. 324a.—Ovum within the distended uterine tube. Natural size. After Kelly. = ——>= CRW Fic. 324b.—The embryo attached to the chorion. X 7 times. After Kelly. No. 1.] ORIGIN OF HUMAN MONSTERS. ios) rar NI Fic. 325a.—Photograph of the whole ovum. Natural size. bryo. Here it contains large mesodermal spaces, which at points are infiltrated with round cells. The umbilical vesicle is present only in outline. Its lumen is partly filled with debris. However, some beautiful multipolar mesoderm cells may be seen. Fic. 325b—Body of the embryo within the ovum. Natural size. There is a large amount of magma within the ccelom, and the lump of it overhanging the cut edge of the chorion contains the umbilical vesicle. 318 MALL. (Vor. XIX. The epidermis covers the embryo only in part; a shell of granular magma covers the rest of the body. ‘The tissues of the body are greatly dissociated and macerated, which has caused almost complete obliteration of the outlines of the epithelial lining of the alimentary canal. The central nervous system is nearly solid and the large blood-vessels are gorged with blood. The liver is necrotic. The mesodermal tissues are obscured, with the exception of the cartilages, whose out- lines are sharpened. No. 328. Embryo, 44% mm. long. Dr. Pohlman, Bloomington, Ind: The chorion extends into irregular fibrous villi, which are covered with a necrotic decidua infiltrated more or less with leucocytes. The main wall of the chorion is about normal in structure and contains numerous blood-vessels. Within the amnion nearly reaches the chorion; the degenerated um- bilical cord is attached to the amnion, but not to the chorion. The umbilical vesicle is well imbedded in magma, is very rich in blood-vessels and on its outside has many papilliform Fic. 328a. Embryo attached to the chorion. XX 4 times. processes, some of which seem to blend with the chorion. In fact, it appears as if the blood-vessels of the umbilical vesicle passed directly over into those of the chorion. The embryo is somewhat deformed, and it is difficult to follow the outlines of some ot its ;aiscera 1 he veeniral No. 1.] ORIGIN OF HUMAN MONSTERS. 319 nervous system is dilated and is converted into a mass of round cells lying in the mesoderm without any epithelia lining; the otic and optic vesicles are likewise filled with round cells. The larger vessels are filled with blood, and the tissues are fairly well infiltrated with round cells. The epi- dermis is intact. Dissociation of the tissues has taken place to such a degree that it is difficult to outline all of the organs with certainty. The The walls of the umbilical vesicle are rich in blood-vessels, which communicate directly with those of the chorion. 328b.—Section of the chorion and adjacent umbilical vesicle. chorion is hemorrhagic. Fic. 320 MALL. [ Vou, XTX. Fic. 330Ab. Fic. 330Aa. Fic. 330Aa—Photograph of ovum. Natural size. Fic. 330Ab.—The embryo. Nearly two diameters. Fic. 330Ac.—Section of the embryo. XX 6 times. No. 1.] ORIGIN OF HUMAN MONSTERS. 321 No. 330. 330A. Ovum, 60 x 55 x 50 mm.; embryo, C. R., 12 mm. 330B. Ovum, 55 x 50 x 45 mm.; embryo, C. R., 12 mm. Dr. West, Bellaire, Ohio. “The woman from whom these twin specimens were ob- tained is about 25 years of age. Fifteen months ago she gave birth to an eight-months child, which lived for two days. Her last regular menstrual period took place during the middle of September. The October and November periods were missed. About the middle of December, at her regular time, bleeding began, which continued until January 21, when these two ova were aborted. I am quite positive, but not certain, that woman has syphilis.”’ Both ova have smooth surfaces, being composed of thin walls, upon which there are occasional villi. In both speci- mens the villi are imbedded in a mass of pus, in which may be found irregular villi, much necrotic syncytium, fibrin and blood. Many leucocytes are found in the mesoderm of the villi. The main wall of the chorion and the amnion of both specimens are of irregular thickness and are well blended with each other. The changes in the two embryos are very similar. In both the epidermis is intact and the dermis is thickened. In front of the head in the region of the deformed mouth there are peculiar thickenings of the epidermis. Both spinal cords are markedly dissociated. The dissociation of the brains is so extensive that in consequence the cerebral vesicles and mid- brains are nearly destroyed and the hind-brains occupy spaces in the centers of the deformed heads. The large vessels and heart are gorged with blood. In B the wall of the ventricle is well infiltrated and in A nearly destroyed by the migrating cells. The outlines of the organs and tissues are very obscure, the whole being more or less filled with round cells. Some of the liver tissue is necrotic. No. 334. Fleshy mole, 50 x 40 x 30 mm.; embryo, 5 mm. Dr. Merrill, Stillwater, Minn. 4 322 MALL. [VoL. XIX. Fic. 330Bb. Fic. 330Ba. Fic. 330Ba.—The ovum. Natural size. Fic. 330Bb—The embryo. Nearly two diameters. Fic. 330Bc. Fic. 330Bc.—Sagittal section of the embryo. X 6 times. No. 1.] ORIGIN OF HUMAN MONSTERS. 323 “Last period four weeks ago. About ten days ago some bleeding, which repeated itself at intervals, and was finally followed by the abortion.” Examination of the mass proves that it is made up mostly of uterine mucous membrane, decidua, blood and pus, and contains a cavity 15 mm. in diameter. The chorion can still be made out as a fibrous band, infiltrated on the outside with leucocytes, and on the inside with small masses of syncytial cells. At points the chorion forms branches, which ramify partly through the mole. These are accompanied with syn- cytial cells and leucocytes. The embryo is pretty well destroyed, of the five-weeks stage, and infiltrated with round cells. The head and back have fallen off, leaving only the viscera attached to the um- bilical cord. No. 336. Ovum, 35 X 25 x 15 mm.; embryo, 8 mm. Dr. West, Bellaire, Ohio. The ovum is smooth, one end being covered with well- developed villi. Their mesoderm is hyaline, with scattered nuclei containing some remains of blood-vessels. The main wall of the chorion is fibrous and infiltrated with blood-cells from the embryo. Within there is a cavity (15 x Io mm.) filled with granular magma and containing the umbilical vesicle and the embryo, which is closely encircled by the amnion. The embryo is somewhat distorted, with large blood-vessels filled with blood and tissues infiltrated with rounds cells. The muscle wall of the ventricle of the heart is normal in appear- ance and there is every evidence that it kept beating until the last. What is especially noteworthy is that the circulation with the chorion has been cut off, the cord being atrophic and infiltrated, but instead the large omphelo-mesenteric vessels are filled with blood and spread over the yolk sac. The walls of this, however, are necrotic. 21 324 MALL. [Vor. XIX. Fic. 336.—Section of the deformed embryo. XX 12 times. The mass attached to the exterior of the amnion is a portion of the umbilical vesicle. No. 1.] ORIGIN OF HUMAN MONSTERS. 32! ut No. 338a. Ovum, 45 x 45 mm.; embryo, C. R., 18 mm. Professor Minot, Boston. The specimen is from a patient suffering with arterio- sclerosis, who died of cerebral apoplexy in the Boston City Hospital. Pregnancy said to be of from six to eight weeks duration. Fic. 338a.—Photograph of the specimen. X 2 times. The chorion is normal in appearance and in structure. The cord of the embryo shows a marked constriction, which in sections appears to be fibrous. The embryo in general is normal in appearance, with the blood-vessels well distended with blood. The central nervous system is dissociated and somewhat macerated. The wall of the heart ventricle is also dissociated, that is, it is infiltrated with round cells. 326 MALL. [Vor. XIX. Fic. 339.—Photograph of the embryo. X 2 times. No. 339. Chorion;: 50°, 30: x 30min: embryo, Cy Rei, mn: Professor Minot, Boston. The chorion is thin, is covered by but few villi and is hemorrhagic on one end. In structure it is somewhat hya- line at points and at others somewhat fibrous. The cord is thickened and also fibrous. The walls of its blood-vessels are dissociated and the blood from them is infiltrating the sur- rounding tissues. The embryo is somewhat distorted but normal in form. Within the tissues are dissociated and macerated. The large blood-vessels are distended with blood, and within the liver and heart the blood cells from them have extended into the surrounding tissues. No. 340. Stumpy embryo, 6 mm. long. Professor Minot. The embryo is well infiltrated with round cells, and the dis- sociation of the tissues is quite complete. Large blood-vessels can still be outlined, and the central nervous system is prac- tically solid. No. 1.] ORIGIN OF HUMAN MONSTERS. 327 Fic. 340—Sagittal section of the embryo. X 17 times. No. 341. Ovum, 70 x 60 x 50 mm.; embryo, 14 mm. Professor Minot. The ovum is pear-shaped and smooth, being covered with some decidua and at points with hemorrhagic masses. Its tissue does not stain well, but it appears as if some of the villi were fibrous and others cedematous. There is not much syn- cytium present. Possibly there are masses of leucocytes in the decidua. Within there are two stumpy embryos, both of which have dilated cords which come to a point where they are attached 328 MALL. [Vor. XIX. Fic. 341a—Photograph of the ovum. Natural size. I'ic. 341c—The twin embryos. Nearly two diameters. No. I.] ORIGIN OF HUMAN MONSTERS. Po Cao ee Fic. 341c.—Curious invagination of the epidermis on top of the head of one of the embryos. 330 MALL. [Vor. XIX. to the chorion. These dilatations show the usual mucoid changes, with cavity formation. The embryos are disso- ciated and macerated. ‘The large blood-vessels are filled with blood, and it appears as if the migrating cells had infiltrated much of the tissues. No. 342. Ovum, 30 x 20 x 20 mm.; pedicle within, 5 x I mm. Professor Minot. The specimen is from a tubal pregnancy and has a very thin fibrous chorion, with traces of blood-vessels, and is prac- tically without villi. Within there is a thickened fibrous Fic. 342—Chorion, amnion, cord and remnant of the embryo. X I5 times. amnion, to which the process, the umbilical cord, is attached. The cord is also fibrous, contains remnants of its blood-ves- sels and has attached at its free end a curious group of round cells, which probably represents what remains of the embryo. No. 343. Ovum, 55 x 45 x 35 mm.; embryo, II mm. Professor Minot. The chorion is of unequal thickness and mostly smooth. Sections show that not only is the decidua attached to it, but also portions of the uterus. The decidua is necrotic and infil- trated with numerous leucocytes. Below the decidua there No. 1.] ORIGIN OF HUMAN MONSTERS. Fic. 343a.—Photograph of the embryo attached to the chorion. times. Fic. 343b—Section of the embryo. X 8 times. 331 332 MALL. [Vor. XIX. Fic. 343¢.—Photograph of a section of the chorion, showing the mucoid mass infiltrated with leucocytes between the villi. No. 1.] ORIGIN OF HUMAN MONSTERS. 333 ; Fic. 343d.—Section of the point of juncture of cord, amnion, chorion, villi and decidua. XX about 20 times. } are distorted villi with fibrous mesoderm. The amnion is in contact with the chorion. Between the villi there is a stringy mucoid mass rich in leucocytes. The stumpy embryo is attached by means of a fibrous um- bilical cord. Its tissues are dissociated and infiltrated with round cells; the blood-vessels and heart are greatly distended with blood. The liver is necrotic. In front of the head the tissue is broken away, leaving a pocket which contained the fore-brain. Above this the brain protrudes. The cord and fourth ventricle are distended and dissociated. The epiderniis is intact. No. 344. Ovum, 45 x 45 x 45 mm.; embryo, C.R., 16 mm. Professor Minot. The wall of the chorion is very thin, with a few fibrous villi scattered over it. It contains no blood-vessels. The long thin umbilical cord is fibrous and shows remnants of blood-vessels. ~The embryo has a rounded head and stumpy legs. Its tissues are dissociated, the brain being distended and macer- 334 MALL. [Vor. XIX. ated, too. The medulla has expanded towards the mouth. Heart and blood-vessels are distended and in many places the walls are destroyed and the blood cells extend into the sur- rounding tissues. This is very marked in the liver. The legs are filled with an even mass of round cells, 7. ¢., the tissues are dissociated. Some of the epidermis has fallen off. Fic. 344.—Photograph of the embryo attached to the chorion. > 2 times. No. 345. Ovum, 60 x 50 x 50 mm.; embryo, 19 mm. Professor Minot. The fleshy ovum is composed largely of decidua, in which are buried plugs of mucus, pus and necrotic villi of the chorion. The embryo is normal in shape. The tissues of the No. 1.] ORIGIN OF HUMAN MONSTERS. 335 embryo are macerated, but on account of the distended me- dulla which encroaches upon the mouth I think it likely that the tissues were dissociated before they became macerated. No. 346. Embryo, C. R., 13 mm. Professor Minot. A piece of hemorrhagic chorion, which may have been 50 mm. in diameter, is attached to the embryo. Its tissues are macerated, but they are well enough preserved to show that much mucus and pus are between some of the villi. The Fic. 346.—Embryo attached to the ovum. X 2 times. structures of the chorion, amnion and cord appear normal, but the umbilical vesicle is filled with a necrotic mass. The embryo is dissociated and macerated. The central nervous system is dilated and the heart is distended with blood, some of which infiltrates the surrounding tissues. 336 MALL. [Vov. XIX. No. 347. Ovum, 40 x 35°X 30 mme}embryo, CR orn aun eke tae head is replaced the C. R. measurement will be less than 8 mm. Professor Minot. The decidua is hemorrhagic and necrotic at points and well infiltrated with leucocytes. The villi and main walls of the Fic. 347.—Embryo within the chorion. XX 2 times. chorion are fibrous and at points infiltrated with leucocytes. Very little syncytium is present, and but few traces of blood- vessels are found in the chorion. The embryo is dissociated and macerated, with dilatation of the central nervous system and extension of the medulla. The blood-vessels are distended and the blood cells are continued through their walls into the surrounding tissues. No. 1.] ORIGIN OF HUMAN MONSTERS. 337 No. 348. Ovum, 50 x 30 x 25 mm.; embryo, I2 mm. Dro Bearce; Albany,Na M4; The specimen is smooth, being covered with numerous small hemorrhagic spots and irregular masses of small villi. Sec- tions show that the decidua is infiltrated with leucocytes, with a consequent fibrous degeneration of the villi of the chorion. The villi, as well as the main wall of the chorion, are being invaded by leucocytes and frequently by syncytial cells. The dissociation of the tissues of the embryo is extreme, the blood from the blood-vessels having passed through their walls to infiltrate the surrounding tissues. This is especially well marked in the heart and liver. The nervous system is pretty well broken up and the epidermis has fallen off. No. 357. Ovum, 90 xX 40 x 40 mm.; embryo, C. R., 17 mm. Dr. Russell, Baltimore. “The specimen came from an unmarried woman twenty- two years old, who said that she was glad it had come away, Embryo within the chorion. Natural size. rau as 72 for it saved her the trouble of having an abortion induced. Her menstruation was irregular, sometimes every two weeks, sometimes every six weeks. The last period occurred about 338 MALL. [VoLt. XIX. the middle of January. On March 29 she began to bleed and aborted on April 19. Apparently her uterus is normal.” The unruptured specimen is inclosed in a layer of decidua and is covered with villi of unequal size, some being very large, as the photograph shows. Within there is a stumpy embryo without a neck and with atrophic leg buds. The cord is transparent and partly filled with granules, which indi- cates that the embryo had been dead for some time before the abortion. The mesoderm of the chorion and amnion is thickened, of even structure, and contains no blood-vessels. In fact, its coelomic cavity is entirely obliterated. The main wall of the chorion is very thin, often being composed of epithelial cells only. The mesoderm of the villi is unusually fibrous and con- tains no blood-vessels. The very large villi are degenerated, often hollow and do not stain. The syncytium is very deficient in quantity; at points it invades the mesoderm. Over the villi there is a mass of fibrin and disintegrated blood. Leucocytes are not numerous, even in the decidua, which appears to be normal. The tissues of the embryo are not only dissociated, but also macerated, and they do not stain well. The sharp boundaries are lacking, showing that adjacent tissues have begun to coalesce. In fact, the whole head down to the thorax seems to have been converted into a bag in which fragments of car- tilage and nerve tissue may be seen. The front of the head is adherent to the thorax immediately over the heart. The contours of the cartilages, liver, heart and adrenal can be made out, but those of the blood-vessels are obscure. According to the menstrual history this embryo was in the seventh week when bleeding began, which was followed by the abortion three weeks later. However, the degree of the development of the cartilages and other structures places the embryo in the sixth week. The lack of inflammatory reac- tion, and the inactivity of the syncytium, suggests that the continued bleeding may have been the primary difficulty, which was followed by death and degeneration of the embryo. No. 1.] ORIGIN OF HUMAN MONSTERS. 330 No. 358. Ovum, 30 x 16 x 10 mm. Dr. Swett, Bangor, Me. “Pregnancy of six weeks duration.” The outer surface of the ovum is smooth and the specimen runs out into a pedicle which was undoubtedly attached to the uterus. Sections show that the villi are matted together, with much blood and syn- cytium between them. Around this there is a fibrous decidua in which there are many leucocytes. The mesoderm of the chorion is somewhat fibrous, the change being especially well marked in some of the villi. No blood-vessels are present in the villi. The cavity within (ceelom) measures 8 x 6 x 6 mm., is lined by a layer of reticular magma, but contains no trace of the amnion nor embryo. No. 361. Ovum, 10 mm. in diameter. Dr. Egbert, Washington. “The ovum was found in a mass of blood within the abdominal cavity, due to a tubal abortion. The operation was performed just 41 days after the beginning of the last menstrual period.” The specimen came into my hands after it had been in water for 24 hours. It was well covered with villi and filled with a mass of dense reticular and granular magma. No embryo could be found by direct observation. The specimen was macerated too much to allow careful microscopic exami- nation. No. 364. Ovum, 90 x 50 x 40 mm.; embryo, 16 mm. Dr. Merrill, Stillwater, Minn. The ovum is covered with a few ragged villi, over which there is some decidua which is more or less detached. Dr. Merrill had placed the specimen in formalin and sent it to me accompanied with the following letter, dated July 6, 1906: 22 340 MALL. [VoL. XIX. “Yesterday I sent another specimen by express. It seemed to me that it would be a good specimen for you. April 7 was the date of the last menstruation; the abortion followed on July 5, 1906. The first flow and pain appeared on the night of July 4. The woman has been married four years; this was her first conception. Both she and her husband are very anxious to have a child, so the miscarriage could not have been aided. There was no incident, accident or otherwise to give cause for the abortion. The woman is unusually healthy and the miscarriage took place without chill or rise of tem- Fic. 364a.—The ovum. Natural size. perature. The specimen was placed in formalin, Io per cent, within two hours after its expulsion.” This history did not satisfy me, so I wrote Dr. Merrill asking a number of questions, for it is from specimens like this that we may hope to find the cause for such malforma- tions. His second letter, dated October 24, 1906, reads as follows: “This specimen is from the first conception, after several years of married life. The woman had been operated upon several years ago for appendicitis. She has not been altogether regular with her menstrual periods, and there 1s some pain connected with them. She had been treated, some No. 1.] ORIGIN OF HUMAN MONSTERS. 341 Fic. 364b.—Front view. XX 3 times. time before I saw her, for vaginal discharge; there may have been endometritis. Prior to her conception I gave her some treatment for leucorrhceal discharge, also made some slight dilatation of the cervix. She had a long cervical os with a narrow canal. There was some vaginitis and, as I remember, some endocervicitis rather than endometritis; none of them Fic. 364c.—Right side. > 3 times. 342 MALL. [Vor. XIX, Fic. 364d.—Left side. > 3 times. very marked. Probably there was enough uterine trouble to cause the delayed development of the embryo and the abor- tion. It was a natural abortion, as the woman was very anxious to have a child. She is what I call a perfectly healthy woman compared with the average woman of the day. The husband is ordinarily healthy, but about a year ago, his wife states, he had some trouble with his genital appa- Fic. 364e.—Section to the left of the middle line. No. 1] ORIGIN OF HUMAN MONSTERS. 343 Fic. 364f—Section near the middle line. ratus. He has night emissions and I judge took medicine for them. As far as I can ascertain, from her outline, he has not had a venereal disease. If so, he did not contaminate her. If he has, as she states, night emissions, perhaps the virility of his semen is below par.” These letters give the difficulties in obtaining histories in these cases, but they indicate that the cause of the change in Fic. 364g.—Sagittal section. 344. MALL. [Vo.. XIX. Fic. 364h.—Section through the villi, showing large amount of mucoid substance rich in leucocytes between them. No. 1.] ORIGIN OF HUMAN MONSTERS. 345 the embryo is to be sought in the chorion, which probably failed to attach itself well to the uterus. Sections of the chorion show that the villi are far more numerous than was suspected from the simple inspection with the naked eye. The main wall of the chorion is thin and atrophic and is lined with the amnion, which is fully detached where it connects with the umbilical cord. However, it must have been attached at one time, for remnants of blood-ves- sels from the embryo are seen in the villi of the chorion. The mesoderm of the villi is very fibrous and the villi are matted together by a slimy mass rich in blood and leucocytes with fragmented nuclei. The syncytium is well developed and extends into the mass of blood and slime. The decidua over the chorion has large sinuses within its walls, is quite hemorrhagic and at points has large islands of leucocytes, usually situated along the course of the blood-vessels. The photographs show the condition of the embryo. Hare- lip, displaced ears, protruding viscera in front and spina bifida behind. The large blood-vessels and heart are still filled with blood and there is quite a general infiltration of the tissues with round cells. The vessels of the embryo end in the cord and do not reach to the chorion. In general, there is mainly a destruction of the tissues due to the irregular growth of the embryo. The central nervous system has been converted, in great part, into a mass of connective tissue, with remnants of the cord below and a rudimentary brain above, which forms a shield upon the protruding mass. A portion of this shield has grown into the connective tissue below, forming a gland- like structure. The clavicle, mandible and maxilla have begun to ossify and some of the muscles are well developed. No. 365. Embryo, 14 mm. Professor Pohlman, Bloomington, Ind. This embryo, with spina bifida, iniencephaly and anenceph- alus, and extremities of normal form, has a straight body 346 MALL. [Vor. XIX. Fic. 3654. Front view of the embryo. > 2 times.. Fic. 365b.—Section through the middle line of the head. > 6 times. No. 1.] ORIGIN OF HUMAN MONSTERS. 347 Fic. 365c.—Section through the middle line of the neck. X< 6 times. Fic. 365d.—Section through the hand. 348 MALL. [Vor. XIX. and is attached to the end of a very large umbilical cord. Sections show that the spinal cord is absent, but there is a solidified brain which is more or less infiltrated with round cells at its periphery. The same is the case with the eyes. The mouth is closed by the tongue, which has become ad- herent to the lips. The nodules in front of the body are composed of necrotic epithelial cells. Some of the tissues of the body are necrotic, but most of them are infiltrated with round cells, and those of the head are quite fibrous in character. The walls of the alimentary canal and the lungs are also pretty well filled with irregular patches of round cells. Espe- cially well marked is this change in the region of tendons and perichondrium, showing that there is an irregular growth of the mesodermal tissues. The clavicle, maxilla and mandible are well ossified, which should not be the case in so small an embryo. No. 366. Embryo, 9 mm. Professor Pohlman, Bloomington, Ind. Sections of the chorion, which is fleshy in appearance, show that its main wall is very thin and that it is lined with the amnion. The villi, few in number, are fibrous or hyaline, are covered with some syncytium, and the spaces between them are filled with blood. Some of the villi adhere by means of the syncytium to the decidua, which is fibrous and necrotic. There is no leucocytic infiltration of the chorion nor the decidua. The embryo is pretty well infiltrated with round cells and the tissues are dissociated. The tissttes are well preserved and appear to have been very much alive. There is a con- siderable quantity of blood within the cavity of the heart and in the blood-vessels. The central nervous system is disso- ciated. The lower jaw is large and is adherent to the head above and to the trunk below. The arms and legs are atrophic. No. 1.] ORIGIN OF HUMAN MONSTERS. 349 Fic. 366a.—Sagittal section of the embryo. %X 10 times. Fic. 366b.—Section of a villus. X 250 times. Notice large epithelial cells scattered in with the stroma. 350 MALL. [Vor. XIX. No. 367. Ovum, 10 x 7 xX 5 mm. Professor Broédel, Baltimore. The ovum from a tubal pregnancy came to me unopened and with some adhering cells and blood clot it was cut into serial sections. The chorion was found to be torn on one side, but its interior is packed with a dense reticular magma. No trace of an embryo was found. Vili Corpus Luteum Fic. 367a—Ovary and tube, clot within and ovum. Natural size. The mesoderm of the main wall of the chorion is of normal thickness, but on the side towards the ccelom it is not sharply defined. Frequently strands of cells are found partly sepa- rated and running out into the magma. The tissue of the mesoderm of the villi is not as clearly defined as in normal No. 1.] ORIGIN OF HUMAN MONSTERS. 351 Fic. 367b.—Section of a portion of a villus as indicated by the adjoined outline, V. X 250 times. E&, epithelial covering; M, mesoderm; S, space within formed by a destruction of tissues. Fic. 367¢c—Outline of a villus showing the portion from which Fig. 367b was drawn. 352 MALL. [Vor. XIX. specimens, some of them having undergone marked degenera- tion. The villi are developed better on one side of the chorion than on the other, and here they contain structures which are undoubtedly blood-vessels. The syncitium is not very marked and is held together by a slimy mass which contains some leucocytes. The surround- ing tissue, the “decidua,” is full of fibrin and contains numer- ous fragmented nuclei and some blood. It is natural to read into thi specimen the following his- tory: The embryonic mass grew long enough to send its blood-vessels into the chorion and then the nutrition was cut off because the villi did not attach themselves properly. That this was the case is shown by the capsule of necrotic tissue ‘which encircles the villi. As a result of impaired nutrition the embryo was destroyed, leaving only the isolated chorion filled with reticular magma. No. 369. Ovum, 7 <3 x3. Professor Brodel, Baltimore. The specimen was removed by operation from a tubal preg- nancy on October 9, 1906. The woman’s last period began September 17. The distended tube measured 25 mm. in diameter and when cut open a small lump, 2 mm. in diameter, was seen on one side of its cavity. This was believed to be the embryo, but serial sections proved it to be a small mass of blood very rich in leucocytes. The sections show the chorion pretty well folded upon it- self, which is torn at several points. The torn edges are well rounded, that is, they are healed and are therefore not due to the operation. Few villi are left, and they, with the main walls of the chorion, are very fibrous in structure. There is but little syncytium present. The entire chorion is sepa- rated from the wall of the tube by a thick layer of blood, and the tube wall is well infiltrated with leucocytes. What is most remarkable in this specimen is that the amnion lines the chorion completely and all of the mesoderm of the chorion is No. 1.] ORIGIN OF HUMAN MONSTERS. 353 well filled with blood-vessels from the embryonic mass, which must have been present at one time. No. 375. Embryo, C. R., 13 mm. Professor Gage, Ithaca, N. Y. A piece of chorion accompanied the embryo, both of which appear quite normal. However, sections of the chorion show that the mesoderm of the villi is very fibrous, while that of its main wall appears normal. The syncytium seems to be defi- cient in quantity. Sections of the embryo indicate that it is nearly normal, with some dissociation of the tissues. The larger blood-ves- sels are gorged with blood, and some of the tissues, especially those in front of the head, are infiltrated with round cells. The central nervous system is swollen and dissociated, as is so frequently the case in many of the other embryos. No. 377a. Ovum, 30 x 22 x 14 mm. Dr. Crawford, Cedar Rapids, Iowa. The specimen is well covered with villi, which appear quite normal to the naked eye, but upon microscopic examination it is found that they are very fibrous and tipped with syn- cytium; at points it forms islands with necrotic centers. The interior of the ovum contains a considerable amount of reticular magma, within which there is embedded a large sac (5 mm. in diameter) containing a nodule (.5 mm. in diameter )—the embryo. Sections show that the whole chorion is lined with the amnion except at the point of the “inclosed sac,” which proves to be the exoceelom. The embryo is composed of an amor- phous mass of cells which invade the mesoderm of the chorion. It may represent the last remnant of the umbilical vesicle. No traces of blood-vessels are seen in any portion of the embryonic mass, nor in the mesoderm of the chorion. 354 MALL. [Vor. XIX. No. 378. Ovum, 12 mm. in diameter. Professor Brodel, Baltimore. The specimen came from a tubal pregnancy, is dumb-bell- shaped, and had been opened by Professor Brédel, who found no trace of an embryoein it. It was hardened immediately and later cut into serial sections. At no point in the sections could any trace of an embryo be found, although it is pos- sible, but improbable, that it was lost while the fresh specimen was being examined. Ne Fic. 378.—Outline of the tube, blood clot and ovum. Natural size. The ccelom contains some granular magma. The meso- derm of the main wall of the chorion is apparently normal, but that of the villi is cedematous. There are no blood-ves- sels present. At many points the syncytium is necrotic, fre- quently rising from the villi, leaving small vesicles below. The necrotic masses are held together by a slimy mass, within which there are a great many small round cells, undoubtedly leucocytes. No. 379. Ovum, 35 25 x ors) mim: Dr. Meyer, Baltimore. “Last period early in August; abortion, October 20, 1906.” The specimen is well covered with villi and filled with a considerable amount of reticular magma. Within there is a sac, the amnion, measuring 10 mm. in diameter. It con- tained a granular mass, which, when floated from alcohol into water, took on the form of an embryo of the fourth week. No. 1.] ORIGIN OF HUMAN MONSTERS. 355 Fic. 379.—Section of a portion of a villus. >< 250 times. The synctium, S, is invading the mesoderm of the villus. No internal structures could be seen and in handling the embryo it fell into pieces. No doubt the embryo had been dead for some time. Sections show that the mesoderm of the umbilical cord, main wall of the chorion and the villi are fibrous, with a curious growth of the blood-vessels in some places. Within them there are numerous fragmented cells, which may have come from the blood of the embryo. The syncytium is very extensive, necrotic at points and is not infiltrated with leuco- cytes. In many places it dips deep into the mesoderm of the villi and forms islands of epithelial nests. The wall of the amnion is composed of two layers of cells and appears to be normal. 23 356 MALL. {Vor cL No. 395. Ovum and decidua, measuring 17 x 10 x 7 mm. Dr. Pearce, Albany, N. Y. Dr. Pearce writes: “I am sending you to-day a small encap- sulated mass, found among curettage material, which appears to be a young ovum. I have refrained from attempting to determine definitely whether or not it contains an embryo, for fear of injuring a specimen which might be of value to you. “The specimen was removed April 20, 1907, six weeks after the last menstruation. The uterus was emptied because the patient had eclampsia three years ago, and since then has had premature delivery of two dead children. The specimen is preserved in 10 per cent formalin.” The whole mass was stained in cochineal and cut into serial sections, but no embryo was found in it. The sections show it to be composed of numerous villi, decidua and inflammatory tissue. Most of the villi are also fibrous and degenerated, some few, however, contain blood-vessels filled with embryo’s blood. The fragmentary walls of the chorion are very fibrous and the growth of the syncytium is very irregular. Undoubt- edly the ovum “collapsed” some days before the uterus was scraped. The whole specimen is buried more or less in a slimy mass rich in leucocytes, which indicates that the uterine tissue was markedly inflamed. No. 396. Ovum, about 7 mm. in diameter, with the ccelom measuring 3x2mm._ Tubal pregnancy. Dr. Castler, Baltimore. “The tube was removed April 24, 1907, from a woman twenty-one years old. Last period, March 5, followed by a brownish discharge on April 11. Diagnosis of tubal preg- nancy on April 23. The abdominal cavity was found well filled with blood and the tube was still bleeding through the internal ostium. The whole tube was removed and placed in a 10 per cent solution of formalin.” No. 1.] ORIGIN OF HUMAN MONSTERS. 357 The hardened tube is 40 mm. in length and 20 mm. in diameter. It was cut into blocks 5 mm. thick and imbedded in colloidin. Two of the blocks were found to contain the we ~ ~ wee Fic. 396.—Section of the chorion containing the embryonic mass. X 35 times. E, remnant of the embryo; UV, umbilical vesicle. ovum and these were cut out and reimbedded in paraffin and cut into serial sections. The sections show that the ovum has unusually long villi, fully 5 mm. long, which ramify 358 MALL. [Vor. XIX. throughout the blood in the tube and in many instances are attached to the decidua. The syncytium is well developed. The walls of the tube are markedly distended, infiltrated with red corpuscles and leucocytes, many contain fragmented nuclei, which are also scattered throughout the decidua. Within the ccelom of the chorion there is a double vesicle, the large one, 2 x I mm. in diameter, showing all the char- acteristics of the umbilical vesicle. Its layer of mesoderm appears to be thickened and at numerous points it has become adherent to the inner wall of the chorion. At these points the blood islands extend over to the mesoderm and from them blood-vessels ramify to all of the villi. These vessels are all filled with nucleated blood cells. The smaller vesicle is about a millimeter in diameter, is lined with cylindrical cells and is covered with quite an even layer of mesoderm, in which there are some quite large blood-vessels but no blood. Towards one of its ends it is covered with a marked layer of cylindrical cells. It may be that this second vesicle represents what is left of the embryo. Around these two vesicles, filling the whole ccelom, there is a dense reticular magma. The main wall of the chorion and many of the villi are somewhat fibrous in structure. Some of the villi are being invaded by syncytial cells. This specimen is especially valuable inasmuch as it shows the early changes which take place in an ovum after it became lodged in the uterine tube. No doubt owing to its faulty implantation the nutrition of the embryo was affected and it consequently grew in an irregular fashion. The umbilical vesicle became adherent to the chorion and its blood-vessels grew out into most of the villi. No. 398. Embryo, 5 mm. long. Professor C. R. Bardeen, Madison, Wis. The embryo is markedly changed and of the three-weeks’ stage. Most of the organs can still be recognized and the embryonic ccelom is fairly definite. The front of the head is No. 1.] ORIGIN OF HUMAN MONSTERS. 359 Fic. 398.—Outline of the embryo. X 8 times. adherent to the thorax below and the face is pretty well atrophied. The central nervous system is dissociated and distended, as are also the heart, blood-vessels and the liver. No. 399. Embryo, 4 mm. long. Dr. Thompson, Mt. Horeb, Wis. Bardeen Collection. “The specimen is from.a woman twenty years old who has been married ten months. She is a marked bleeder, other- Fic. 399—External form of the embryo. X 8 times. wise strong and healthy. The pelvic organs are normal. The last period occurred during the first week in September and the abortion followed October 9, 1906.” 360 MALL. [Vor. XIX. The external form looks much like that of a chick. Sec- tions show that the tissues are generally dissociated and also macerated. No. 400. Embryo, 3.5 mm. long. Dr. Kaumheimer, Milwaukee, Wis. Bardeen Collection. “Last menstruation October 21; abortion December 19. Placed in 10 per cent formalin an hour after the abortion.” The external form is that of a normal embryo, but the sections show that marked pathological changes have taken place. The central nervous system is distended and partly Fic. 400—Drawing of the embryo. X 8 times. filled with round cells. The walls of the brain of the embryo are dissociated and apparently are giving rise to the numer- ous round and fragmented cells which are present. The heart and large blood-vessels are distended and well filled with blood. The tissues of the mesoderm are generally filled with round cells as well as with numerous fragmented nuclei, the infiltration including the myotomes and the peritoneal cavity. The amnion and epidermis are intact. No. 401. Embryo, 5.5 mm. long. Dr. Hay. Bardeen Collection. Much of the chorion and many of the villi and the syn- cytium are necrotic and infiltrated with many leucocytes. The tissues of the embryo are dissociated, macerated and infiltrated No. 1.] ORIGIN OF HUMAN MONSTERS. 361 with round cells. However, all of the organs are recog- nizable. The umbilical vesicle is necrotic and filled with a mass of broken-down cells. No. 402. Ovum, 40 x 25 x 20 mm.; embryo, 4 mm. long. Dr. O’Shaughnessy, New Canaan, Conn. “The woman, age 30, from whom the specimen was ob- tained is well built, strong and healthy. Menstruated regu- larly, but was married 3% years before she became pregnant. After the birth of this child she had a slight discharge and was attended by a physician, who stated that she had an ulcerated cervix, for which he made local applications. Shortly after this, two years after her first confinement, she became pregnant again. This confinement, which was at- tended by me, was rapid and normal in every respect. She remained in bed for 15 days, the uterus not reducing in size as it should normally. “Since the second child was born she has had some dis- charge, but became pregnant again about six or eight weeks ago. This time, however, she aborted. She has never done anything to prevent pregnancy, and both she and her husband are anxious to have a large family. The patient is at present unwell and still has her chronic discharge.” The villi of the ovum are not well developed, being irregu- larly distributed over its surface. Within, the ccelom is well filled with reticular. magma. The embryo is club-shaped, its head being much too large for the body, the external form being very much like that of No. 399. The umbilical vesicle is of normal size and shape, the heart is well outlined and the extremities are just beginning to develop. PLATES. The plates include a number of illustrations which were borrowed from the literature to illustrate various points in this article. There are also some sections of normal embryos with which to compare the numerous sections of pathological specimens. Prarroe ErGen te Fic. 2. Fic. 1—Human embryo 8 mm. long with spina bifida. After Torneau and Martin (Journal d’Anat. et Physiol., XVII, 1881). Fic. 2—Spina bifida in a human embryo 10 mm. long. After Fischel (Ziegler’s Beitrage, XLI, 1907, Fig. 16). Fics. 3 and 4.—Sections through the middle of the spina bifida shown in Fig. 2. After Fischel (Ziegler’s Beitrage, 1907, Figs. 21 and 22). 364 PLATE II. ovum. Fic. 5.—Ovum in tubal pregnancy. From a drawing by Professor Brodel. Natural size. After Kelly (Operative Gynecology, 2d edition, Vol. 2, Fig. 635.) Rupture Fic. 6—Ovum in tubal pregnancy. Reduced one-tenth. (After Kelly’s Operative Gynecology, Fig. 640.) : Fic. 7—Tubal abortion. Natural size. (After Kelly’s Operative Gyne- cology, Fig. 643.) PLATE III. Fig. 8—Normal human embryo 16 mm. long (No. 256). The head had been crushed in handling and the brain escaped through the two open- ings over the eyes. Fic. 9—Sagittal section of a normal human embryo 7/ mm. long (No. 221). 306 PLATE IV. Fic. 10.—Sagittal section through a normal human embryo 14 mm. long (No. 144). Fic. 11.—Sagittal section through a normal human embryo 35 mm. long (No. 199). 367 THE OOGENESIS OF BUFO LENTIGINOSUS. HELEN DEAN KING. The present paper records the results of an investigation of the odgenesis of the American toad, Bufo lentiginosus, which was undertaken, primarily, in order to trace the history of the chromatin from the odgonia to the maturation period of the odcytes and thus to complete my study of the chro- matin behavior in the germ-cells of this amphibian. The work has necessarily involved a detailed study of the nucleoli, since these structures are closely associated with the chromatin at certain periods of development; and it has been extended to include an investigation of the yolk formation, as the material seemed especially favorable for this purpose. This study was begun several years ago at Bryn Mawr Col- lege, but was laid aside for various reasons until this past year, when it was completed at the Biological Laboratory of the University of Pennsylvania, where I was holding a Uni- versity Fellowship for Research in Zoology. I take this op- portunity to express my obligations to Professor E. G. Conk- lin for many valuable suggestions during the course of my investigations. I. MATERIAL AND METHODS. Bufo lentiginosus is found very abundantly in the vicinity of Philadelphia; and, as the tadpoles are easily reared in the laboratory, several different series of preparations have been obtained consisting of larve killed at frequent intervals from the time of hatching until metamorphosis. These series give all stages in the development of the germ-cells up to the early growth period of the odcyte. For the study of the later development of the ova, young toads with a body length of 1.5-5.5 cm. were collected at various times from June until 370 KING. [Vou XIX. September. In order to compare the development of the ova in the young toad with that of the ova in the adult, por- tions of the ovaries of mature females were preserved at different times during the summer months. As the eggs ap- pear to develop along similar lines in all toads, ovaries of young females were used principally for these investigations, since in them the ova are more nearly uniform in size than they are in the adult, and in a single section it is possible to find a large number of eggs in practically the same stage of development. The very conflicting results that have been obtained by the investigators who have studied the development of the germ- cells in amphibians can doubtless be attributed, in part at least, to the great diversity of ways in which the material has been preserved. Carnoy and Lebrun, who have studied the germinal vesicle in the eggs of many different species of amphibians, unhesitatingly recommend Gilson’s fluid as the best fixative for the amphibian egg. I have not found that this liquid gives a satisfactory fixation of the egg of Bufo, as it usually causes a decided shrinkage of the nucleus and, at certain stages, a distortion of the nuclear contents. A number of different fixing fluids have been tried during the course of these investigations, among which may be mentioned Zenker’s fluid, corrosive-acetic (5 per cent acetic acid), cor- rosive-formalin (Bouin’s method), picro-acetic, Flemming’s solution, chromic-acetic, and Hermann’s fluid. Flemming’s solution (strong formula) is the best fixative for the odgonia and the early growth stages of the odcytes, although Zenker’s fluid and Hermann’s fluid give very good results. After the yolk has formed Flemming’s solution does not penetrate the egg sufficiently well to give a satisfactory fixation. For this later period I have found that the chromic-acetic solution recommended in a previous paper (King, 49) gives the best preparations. Corrosive-acetic acid is also a good fixative for the egg at this period of its development, but it is especially valuable for the maturation stages. Corrosive-formalin and Picro-acetic do not give a satisfactory fixation of the egg of Bufo at any stage of its development. No, -2.] THE OOGENESIS OF BUFO LENTIGINOSUS. 371 Of the great variety of combination stains that have been experimented with at different times in the hope that it might be possible to differentiate the chromatin from the nucleoli, safranin and gentian violet, used in the manner recommended by Hermann (39), proved to be by far the best. This stain is rather difficult to use, but when a satisfactory preparation has been made, all of the plasmosomes are stained a vivid red and stand out in sharp contrast to the chromatin which is a deep blue, while the structures which I have called “compound- nucleoli” are stained purple. Much of the material was stained with iron hematoxylin and orange G. This combination does not differentiate the nucleoli from the chromatin; but it gives such clear, sharp outlines that it is of great value in studying the early stages in the development of the oocytes when the chromatin stains but faintly and cell boundaries are difficult to determine. Borax carmine combined with Lyon’s blue, safranin followed by Lichtgriin, and Delafield’s hematoxylin with orange G. also give good preparations, particularly of the later growth stages of the oocytes. Il. THe PRIMORDIAL GERM-CELLS. Owing to the large amount of yolk in the embryo and to the vagueness with which the cell boundaries are defined, it is impossible to trace the germ-cells in Bufo back to the segmen- tation stages of the egg, as has been done in other more favor- able forms. Not until a tadpole is five or six days old and has attained a length of about 4 mm. can one point out definitely the group of cells that will develop into the genital ridge. At this stage of development the lateral plates of mesoderm (Fig. 1, L. M.) are well defined; the cells are small, with clear outlines, and they contain but comparatively little yolk. In the endoderm (Fig. 1, E.) on the contrary, the cells are very large; they are filled with yolk spherules which stain very deeply with iron hematoxylin, and their boundaries are ir- regular and difficult to determine. In the mid-dorsal region of the embryo there is usually found at this time a ridge of 372 KING. [Vou XIX. cells (Fig. 1, G) which lies directly beneath the aorta (Ao.) and between the lateral mesodermal plates (L. M.). The cells of this ridge resemble the cells of endoderm in all respects and they are continuous with the endodermal cells which later form the lining of the digestive tract: there is no probability that these cells are of mesodermal origin, since they are always sharply marked off from the lateral mesodermal plates. When the tadpole is eight or nine days old this ridge of cells becomes separated from the endoderm, and it then forms a median cord of cells, the genital ridge, lying between the cardinal veins and supported by the mesentery (Fig. 2 G). The cells of the genital ridge are very conspicuous in sections at this time, as they still contain numerous large, deeply staining yolk spherules, although the neighboring cells have already absorbed the greater part of their yolk. Many investigators who have studied the origin of the germ-cells in amphibians have asserted that these cells are derived from a germinal epithelium which is a modifica- tion of the peritoneal epithelium lining the body-cavity. This is the view advocated by Waldeyer (91), Semon (84), Hoff- mann (44), Kolessnikow (55), Leydig (60), Spengel (86), Iwakawa (45), and more recently by Bouin (11). The last named investigator, however, admits the possibility that the first germ-cells in Rana are derived from endoderm, since in early stages of development they have all of the character- istics of the primitive endodermal cells. On the other hand, Nussbaum (73) maintains that in amphibians, and also in other vertebrates, the germ-cells are not derived from perito- neal epithelium, but that they are developed from undifferen- tiated embryonic cells which are set apart during early cleav- age for this especial purpose. This theory has been supported by the researches of Woods (95) on Acanthias, and by Beard (7) on Raja batis. The latter investigator states: “The germ- cells may be regarded as unicellular organisms which pass one part of their life-history within a multicellular sterilized stock, the embryo or metazo6n, formed by one of them at a definite period in the life-cycle.” No. 2] . THE OOGENESIS OF BUFO LENTIGINOSUS. 373 In Bufo, as in the turtle and in the frog according to the investigations of Allen (1, 2), the germ-cells arise in con- nection with the endoderm. Allen’s recent account of the origin of the sex-cells in Rana pipiens agrees essentially with what I have found in Bufo. I cannot be sure, however, that in Bufo the ridge of germ-cells is separated. from the endoderm “by the approximation of the lateral plates of mesoderm,” al- though many sections give this impression. During this early period of development, when so many organs are rapidly being differentiated from embryonic tissue, it is impossible to tell exactly what forces or combination of forces are at work shift- ing the materials from one place to another. It is possible, as Allen suggests, that the germ-cells themselves take an active part in the processes which separate them from the endoderm, since it is apparently only through their own activity that they reach their final position in the embryo. Since Hertwig (41), Boveri (12), and others have traced the germ-cells back to segmentation stages, and Conklin (21, 22) has found various organ-forming substances in definite areas in the un- segmented egg, it seems meaningless to speak of organs as arising from any definite “germ-layer,” although the conven- ience of such a starting point for the study of the development of any structure is obvious. Owing to the character of the embryonic cells it is seemingly impossible to trace any organ in Bufo back to early cleavage stages, and the sex-cells are not clearly defined until the tadpole is about five days old. At this stage of development the germ-cells still retain their earlier embryonic character, and they are in contact with and closely resemble the endodermal cells. Instead of asserting that the germ-cells in Bufo are endodermal in origin, it seems to me more in keeping with the results of the investigations on other more favorable forms to assume that these cells in Bufo are of like generation with the primitive endodermal cells and that both kinds of cells arise from neighboring regions of the unsegmented egg. It may sometimes be possible to deter- mine the organ-forming regions in the unsegmented egg of Bufo as Conklin has done in the egg of Cynthia. 374 FRING: [Vou. XIX. When the genital ridge is first clearly marked off from the endoderm it occupies a median position between the cardinal veins and beneath the aorta (Fig. 2), as Bouin and Allen have stated is the case in Rana. If a section of the ridge in this stage of development is examined under high power one finds that it is composed of two distinct types of cells, one many times larger than the other (Fig. 3). The large cells, which are filled with yolk spherules and have vaguely defined boundaries, are the primordial germ-cells. The nuclei of these , cells have the “mulberry” shape which La Valette St. George (78) discovered to be a characteristic of the nuclei in the spermatogonia of Salamandra, and they are usually crowded by the yolk spherules into one corner of the cell. The chromatin in these nuclei is in the form of minute, faintly staining gran- ules which are distributed on linin threads or along the nuclear membrane. Each nucleus contains several rounded, deeply staining nucleoli of various sizes. Judging from their stain- ing reactions most of these nucleoli are plasmosomes, and only one or two of the smaller ones are karyosomes. Scattered among these germ-cells, and frequently flattened against them, are numerous small cells which resemble in all respects the cells of the peritoneal epithelium from which they doubtless have been derived. These cells are very much smaller than the germ-cells; they contain no yolk and they have an elongated, deeply staining nucleus which is very large in proportion to » the size of the cell. Doubtless these cells migrate into the genital ridge after the formation of the mesentery, since there are no cells of this type in the genital ridge at the stage of Fig. 1, and I have seen nothing that would indicate that they are derived from the germ-cells. Bouin has stated that he finds in Rana temporaria transi- tional stages between peritoneal cells and primordial germ- cells, and he believes that before the metamorphosis of the tadpole new germ-cells are constantly arising from peritoneal cells. These observations have not been confirmed by Allen (2) in his study of the origin of the germ-cells in Rana pipiens, and in Bufo I can find no evidence that the germ-cells are No. 2] THE OOGENESIS OF BUFO LENTIGINOSUS. 375 derived from peritoneal cells at any stage of development. The peritoneal cells in the genital ridge vary considerably in size and some may be nearly twice as large as others. In all cases, however, the cell contains comparatively little protoplasm and no yolk; while the nucleus maintains a characteristic appear- ance and stains very deeply, thus standing out in sharp contrast to the larger, more irregular, and more faintly staining nuclei of the germ-cells. The development of the genital ridge proceeds from before backward. Ina section of the anterior part of the ridge there are usually from 5-8 large germ-cells (Fig. 3), while in a more posterior section there are rarely more than three of these cells. In older tadpoles the difference in the rate of development of the different parts of the genital ridge is even more strongly marked, since the anterior portion of the ridge may have taken on its definite character as an ovary or a testis while the posterior portion remains in an apparently indifferent state. When a tadpole is ten or eleven days old, the yolk spherules begin to disappear from the cells of the genital ridge. and the structure of the germ-cells can then be more clearly seen (Fig. 4). At this time the germ-cells are more rounded than they were at an earlier period and, as they contain fewer and smaller yolk spherules, the polymorphic nucleus is usually found in the centre of the cell. With the exception of the large plasmosomes, the nuclear contents still show little capac- ity for staining either with plasma or with chromatin stains. By this time many peritoneal cells have become flattened against the germ-cells and have thus assumed the role of fol- licle cells. The boundaries of these follicle cells become very. indistinct, and in many cases the cytoplasm seems to disappear entirely leaving the deeply staining nuclei in contact with the germ-cell. In early stages of development the germ-cells are not al- ways confined to the genital ridge. At the right, in Fig. 4, is a cell (Y) which lies considerably outside of the germinal area and directly under the Wolffian tubule; in Fig. 5, at the 376 KING. [Vov. XIX. left of the aorta are two germ-cells which lie above the level of the genital ridge. Such germ-cells must eventually come into the germinal area or degenerate, since cells of this char- acter are never found outside of the genital ridge in later stages of development. I have never found cells with the characteristics of germ-cells in the mesoderm or in the ecto- derm. In a tadpole twelve to fourteen days old there is usually found the beginning of a separation of the median genital ridge into two ridges symmetrically placed one on each side of the middle line (Fig. 5). This division of the genital ridge is evidently brought about through the activity of the germ- cells, although I have never been able to find any evidence of amoeboid movement in these cells. A longitudinal section through a tadpole thirteen days old (Fig. 6) shows that, at the time the genital ridge is dividing, the germinal area extends from about the level of the liver nearly to the posterior end of the body-cavity. When the division is completed the anterior portion of each genital ridge contains from two to five germ- cells (Fig. 7), while the middle and posterior portions rarely contain more than one or two germ-cells (Fig. 8). Sections through the posterior region of a genital ridge frequently con- tain only the peritoneal cells (Fig. 9) which seem to be crowding into the germinal area in increasing numbers at this time. The primordial germ-cells in the sex-gland of a tadpole about to undergo metamorphosis are similar to those found in the genital ridge at the stage of Fig. 4, except that they contain only a small amount of yolk. After the greater part of the yolk has been absorbed there is found in the cyto- plasm of these cells a small, round, deeply staining, apparently homogeneous body which is sometimes, though not invariably, surrounded by a clear area (Fig. 8, V). This body, which I shall call the vitelline body, divides previous to the cell mitosis (Fig. 7, V), and one of these bodies is to be found subse- quently in each of the daughter cells. In addition to the vitelline body, there is found in the No. 2.] THE OOGENESIS OF BUFO LENTIGINOSUS. 377 cytoplasm of the germ-cells, usually close to the nucleus, a small centrosome which is surrounded by a rounded, granular attraction-sphere (Fig. 8, C). This centrosome divides very early in preparation for the cell mitosis, and, as shown in Fig. 7, it is sometimes possible to find a section of a cell which con- tains two centrosomes as well as two vitelline bodies. Such a section shows conclusively that the vitelline body is not de- rived from the centrosome and that there is no relation be- tween these bodies. I have, as yet, no clue to the origin of the vitelline body which, as will be shown later, is undoubt- edly concerned in the formation of yolk nuclei. A structure similar to the vitelline body is found in the cytoplasm of the spermatogonia of Bufo, and it can be traced directly to the spermatids where it gives rise to the acrosome of the mature spermatozoon. Since Meves (69), McGregor (63), and Bro- man (13) have found that the acrosome of the amphibian sper- matozoon is derived from the idiozome, I suggested in a previous paper (King, 52) that the body in Bufo which forms the acrosome might possibly be derived “from a condensation of a portion of the attraction-sphere at an early period in the history of the primary spermatogonia.” My study of the primordial germ-cells has not given any support to this hy- pothesis since, although this body is usually found near the attraction-sphere (Fig. 7), the two structures are clearly dis- tinct at all times and there is not the slightest evidence that the former is derived from the latter. In its size and general appearance the vitelline body closely resembles the small nucleoli in the nuclei of the primordial germ-cells, but I have seen nothing that would indicate that it is of nucleolar origin. The later history of this structure in the ova strongly suggests that it is a secretion product of the cytoplasm formed, pos- sibly under the influence of the nucleus, but not from nuclear material. According to the investigations of Bouin, the increase in the number of germ-cells in Rana is brought about through a con- tinuous process of transformation of peritoneal and mesen- chyme cells into sex-cells, not by mitosis nor by direct division 378 KING. [Vou. XIX. of the germ-cells already present in the germinal area. In Bufo I have found that the multiplication of the germ-cells is solely through mitotic division of the primordial cells evolved from embryonic issue. Although mitotic figures are comparatively rare during the early stages of development they are found very abundantly when the tadpole approaches metamorphosis, and in a single section of the ovary of a toad killed at this time one may find several cells that are preparing to divide (Fig. 17, P). Stages in the division of the primor- dial germ-cells are shown in Figs. 10-14. In the early pro- phase of mitosis the chromatin forms a thick spireme which is so much convoluted that it is impossible to determine whether it is continuous or not. This spireme is subsequently broken into segments of various lengths (Fig. 10). There are 24 of these segments, this being the number that is characteristic of the somatic cells of the species. Usually all of the nucleoli have disappeared before the segments are formed, but some- times, as shown in Fig. to, Nu., a nucleolus will persist until a much later period. This would seem to indicate that the nucleoli are not used in the formation of the chromosomes. The chromatin segments shorten gradually and form broad, V-shaped loops which can readily be arranged in pairs ac- cording to their lengths (Figs. a1, 12). In the metaphase the chromosomes are arranged in a circle with the angle of the V turned towards'the centre of the spindle (Figs. 11, 13, 15); and, as they subsequently undergo a longitudital divi- sion, much narrower V-shaped chromosomes are found at the spindle poles in the late anaphase (Fig. 14). In sections of the ovary of a tadpole killed at the time of metamorphosis germ-cells are frequently found which appear to contain two or more separate nuclei (Figs. 15, 16, X). Judging from these figures alone one might feel justified in concluding that the germ-cells divide amitotically as well as by mitosis. I have never found a division of the cytoplasm in any of the cases in which sections of the germ-cells contain two or three nuclei, and in every instance the following or preceding sections invariably show a connection between the various unclei in the cell. It is evidentfi therefore, that the No. 2.] THE OOGENESIS OF BUFO LENTIGINOSUS. 379 apparently multinucleated cells are not preparing to divide by amitosis. Their appearance is doubtless due to the fact that in sectioning the cells the polymorphic nuclei were cut in such a way as to completely separate two or more lobes. In my study of the germ-cells of Bufo I have never found a single instance where I could be sure that a cell was dividing amitoti- cally; and I am convinced that this mode of division does not normally occur in any of the germ-cells of the ovary or of the testis. By the time that a tadpole is sixteen to eighteen days old the anterior portion of each genital ridge has developed into a small rounded body, the so-called “Bidder’s organ.” The structure and development of this organ will form the subject of a separate paper and therefore no further mention of it will be made here, as it has seemingly nothing to do with the development of the ova. Although sex is doubtless determined at a very early stage of development, the germ-cells of Bufo remain in an apparently indifferent condition for a long period, and it is not until the tadpole is about to undergo metamorphosis that its sex can be ascertained with any degree of certainty. Several investigators of amphibian odgenesis have stated that the presence of a central cavity in the genital ridge is the first characteristic by which the young ovary can be identified. In Bufo it is possible to distinguish the sexes at a somewhat earlier period of development by means of the arrangement of the cells in the more anterior portion of the sex-gland. In the young male the germ-cells are scattered evenly through- out the testis, each being surrounded by a number of follicle cells; in the young female the germ-cells have a definite ar- rangement around the outside of the ovary, while the centre is filled with peritoneal cells (Fig. 15). There -is no central cavity in any part of the genital ridge at this time. When the genital ridge has taken on the definite character of an ovary, some of the odgonia still contain a few small yolk spherules (Fig. 15), although all traces of yolk have long since disappeared from the other cells of the body. There is no ovarian wall at this time and the odgonia are surrounded 380 KING. [Vor. XIX. by follicle cells as in an earlier period. At a slightly later stage of development (Fig. 16), the central part of the ovary is no longer completely filled with peritoneal cells, but it con- tains a number of intercellular spaces which later unite to form one large cavity (Fig. 17). The central cavity in the ovary of Bufo is not, therefore, a portion of the general body-cavity which is brought into the ovary by a fold of peritoneal epithe- lium as Hoffman has claimed is the case in Triton and in various other amphibians, but it is the result of a fusion of the many intercellular spaces which-are produced by the rapid increase in the size of the ovary. In Fig. 16 is shown the beginning of the formation of the outer ovarian wall. At the upper part of the ovary a number of peritoneal cells are found with their nuclei flattened against the outer surface of the germ-cells. The outlines of these cells become obliterated and their cytoplasm forms a continuous layer over the oogonia. At a slightly later stage (Fig. 17), many of the peritoneal cells in the interior of the ovary become arranged along the inner side of the oogonia to form the inner wall of the ovary. In the young female as well as in the adult, the ova develop between the two ovarian walls. The small cells with deeply staining nuclei which are so conspicuous in the ovary at the stages of Figs. 15-17 have been called by various observers mesenchyme cells, peritoneal cells, and follicle cells; while Bouin considers them to be “petites cellules germinatives.”” In Bufo these cells are found with the primordial germ-cells when the latter are first sepa- rated from the endoderm at the stage of Fig. 3, and from their general characteristics they are doubtless to be classed as mesodermal cells. Occasionally these cells are found dividing mitotically (Fig. 15, R); but division figures in them are rare as compared with those that are found in the germ-cells. The number of these cells increases enormously as the ovary enlarges; and, since there is no evidence that they divide amitotically, it is probable that there is a continuous migration of cells from the mesentery through the ovary pedicle into the ovary. Many of these cells later become the follicle cells which are found-around the egg as long as it remains in the No. 2.] THE OOGENESIS OF BUFO LENTIGINOSUS. SOE ovary; the others, as far as I can determine, are actively concerned in the formation of the ovarian walls, the cyst membranes and the zona pellucida. According to the observations of Bouin there are fewer primordial germ-cells in a tadpole of Rana temporaria that is 33 mm. long than in one 20 mm. long. As the difference in numbers is considered too great to be attributed to indi- vidual variation, Bouin believes that a reduction in the num- ber of primordial germ-cells is brought about at this stage of development through an expulsion of a large number of these cells from the ovary into the body-cavity. He calls this pro- cess “ponte d’ovules primordiaux,” and he considers that it is analogous to that which occurs in the adult frog when the ripe eggs are expelled from the ovary. Bouin suggests that this process may take place so that “‘la glande, qui évolue dans le sens male, élimine les éléments qui seraient inutiles a son développement ultérieur.” None of the other investigators who have worked on the development of the sex-glands in amphibians have described such a reduction in the number of primordial germ-cells and there is nothing similar to it to be found in Bufo. The expulsion of primordial germ-cells from the ovary is, therefore, either a process that is peculiar to Rana temporaria, or it is one which takes place so quickly in other species that it has escaped the attention of the in- vestigators working in this field. As the tadpole approaches metamorphosis, the ovary in- creases in size very rapidly and it usually appears lobed when examined in toto under a low power of the microscope. This lobed appearance of the young ovary furnishes a means by which it can be distinguished from the testis without making use of sections. Ill. THe SECONDARY OOGONIA. Soon after metamorphosis the primary odgonia give rise to a new generation of cells, the secondary odgonia, which are aggregated into cysts or “cell nests” that are arranged much 382 KING. [Vou. XIX. as are the primary oogonia shown in Fig. 17. The cells of a cyst are all descendants of one primary oogonium, and the cyst wall is formed evidently by the follicle cells which had previously surrounded the parent cell. The secondary oogonia are somewhat smaller than the primary oogonia, but they closely resemble them otherwise. They have a polymorphic nucleus containing a faintly staining reticulum and several plasmosomes. In the cytoplasm is a vitelline body (Fig. 18, VY) and also a minute centrosome surrounded by a granular attraction-sphere (Fig. 18, C). The cells of a cyst do not always divide simultaneously, and resting cells as well as cells in all stages of division may be found in the same cyst (Fig. 19). In the early prophase of mitosis a thick spireme is formed, as in the primary oogonia. This spireme breaks into segments (Fig. 19, S), presumably twenty-four, which condense into V-shaped chromosomes in the metaphase (Fig. 19, O). The spindle is the same shape as that found in the earlier generations of cells, and there are distinct centrosomes at the spindle poles which are devoid of any radiation (Fig. 19, O, R). IV. THE DEVELOPMENT OF THE OOCYTES TO THE SyYNIZESIS STAGE. Considerable controversy has arisen among investigators regarding the origin of the odcytes in the amphibian ovary since, at the period of the transformation of oogonia into oocytes, cell and nuclear boundaries are frequently obscured and the cyst contents appear as a syncytium. In his classic work on Bombinator igneus, Goette (35) states that in the young ovary the protoplasmic bodies of the central cells of a cyst fuse into a single mass which contains at first several separate nuclei; later the nuclei also fuse to form the mulberry shaped germinal vesicle of the egg. This view has been slightly modified by Bataillon (6), who con- cludes, from his observations on Rana and on Bufo, that after the fusion of the cytoplasmic bodies of the cells of a cyst one No. 2.] THE OOGENESIS OF BUFO LENTIGINOSUS. 383 of the nuclei wins the upper hand and subsequently absorbs all of the others. Gemmil’s (34) observations seem to indicate that “in der Regel geht aus einem Zellnest nur ein Ei hervor, und zwar durch directe Entwickelung aus einem der Elemente des Zell- nestes. Won den iibrigen Elementen bilden sich einige wieder zurtick und betheiligen sich an der Bildung der Granulosa, der Rest aber geht zu Grunde.” According to Gemmil, there appears to be a struggle among the cells as to which shall form the ovum; space being the chief factor which de- cides the contest. The cell which lies in the centre of a cyst has seemingly the most room for development and this is the one which usually wins. The fate of the other cells depends upon how far they have differentiated before the one cell be- comes the ovum and so governs the rest. The cells which are least differentiated assume the rdle of granulosa cells. Those further developed cannot go backwards; they either have to become eggs or disintegrate. If the cyst happens to be larger than usual, as many as four of the cells may have room to develop into functional eggs. Since extra space is rarely ob- tained by the cyst, all of the cells which have passed a certain stage of development before the egg has formed are, as a rule, forced to disintegrate, and traces of the débris from these cells are to be found for some time in the protoplasm of the developing egg. Hoffmann’s opinion regarding the origin of the egg in the Anura is similar to that of Gemmil, since he believes that one cell of a nest outstrips the others in development and forms the ovum while the others degenerate and become granulosa cells. Semon’s observations lead to a similar conclusion. Nussbaum and also Knappe (54) find a mulberry shaped nucleus in the primordial germ-cells, and they assert that this nucleus divides by amitosis into several small nuclei. One of these nuclei increases rapidly in size and becomes sur- rounded by the greater part of the cytoplasm of the cell, thus forming the egg; the other nuclei become arranged around the periphery of the egg to form the follicle epithelium. Ac- 384 KING. [Vort. XIX, cording to Eismond (27) an ovum may arise either from one of the cells of a nest which has outstripped the others in development, or from a fusion of all of the cells of a cyst. He also considers that “‘la formation des nids n’était pas un anneau indispensable dans le cycle de l’oogenése, c’est-a-dire qu’en méme temps que la formation des nids du sens strict, se faisait aussi la différenciation progressive des oocytes directement aux dépens des produits de la derniere division des odgonies, comme cellules independantes.”’ The conclusion that ova may arise directly from oogonia accords with the view advanced in 1870 by Waldeyer (91) and supported later by the researches of Balfour (4) on elasmobranchs. Bouin has investigated the formation of the ova in much greater detail than have any of the other workers on amphibian oogenesis. He finds, as do other investigators, that secondary oogonia are enclosed in cysts, and he states that all of the oogonia in a cyst divide simultaneously. After several divisions, the number of which he does not determine, the character of the cells changes considerably and “oogonia of transition” are formed. ‘The latter are clearly defined cells with rounded nuclei in which there are several chromatin nucleoli, but no traces of a chromatin reticulum. This stage is succeeded by one in which the nuclear membrane disap- pears and the karyoplasm is separated from the cytoplasm only by clear area. At a later stage of development granular threads appear in the nucleus which are formed, doubtless, of the minute chromatin granules scattered in the karyoplasm. These threads increase in number very rapidly and form a distinct chromatin reticulum, while a new nuclear membrane encloses the nuclear contents. All the cells of a cyst develop up to this stage, but later, owing to some unknown causes, only a part of the cells continue their development as oocytes ; the others degenerate and are either dissolved gradually or devoured by the phagocytes. Degenerating cells never form follicle cells but probably serve as nutriment for the victori- ous oocytes. The results of Bouin’s investigations agree es- sentially with those reached by Balfour in his study of No. 2.] THE OOGENESIS OF BUFO LENTIGINOSUS. 385 elasmobranchs. The latter investigator states that “some of the nuclei of each nest are converted into the nuclei of the permanent ova, others break down and are used as the pabulum at the expense of which the protoplasm of the young ovum grows.” Judging from the number of cells in a fully formed cyst, there are at most four or five generations of secondary oogonia in the ovary of Bufo. After the last odgonial division resting nuclei are formed, and the cyst is filled with small cells which appear much like that shown in Fig. 20. At this time cell and nuclear boundaries are very much more indistinct than in earlier stages, yet they can readily be made out in prep- arations fixed in Flemming’s solution and stained with iron hematoxylin. If the material is properly preserved the cells never form a syncytium; nor is there any fusion of the nuclei, or any absorption by one nucleus of its less fortunate neigh- bors. Each cell in a cyst develops into an oocyte, and, al- though I have examined a large number of cysts in this stage of development taken from many different individuals, I have yet to find a single instance in which there is a degeneration of any of the germ-cells in a cyst or any change of germ-cells into follicle cells. It seems very probable that the cells which several investigators have considered to be degenerating young oocytes, were, in reality, cells in which the nuclei were in the condition shown in Fig. 25. This contracted state of the nuclear contents, to which McClung (62) has applied the term synizesis, is a definite constructive stage in the develop- ment of the young oocyte of Bufo, and it is not due in any way to a degeneration of the nucleus or of the cell. Owing to the crowded condition of the cells in a cyst the young o6cyte is more or less polygonal in outline. The nucleus is very large in proportion to the size of the cell, and it is invariably oval or slightly irregular, never possessing the polymorphic form characteristic of the nuclei in the earlier generations of cells. At this period the chromatin shows little capacity for staining and, as in the resting odgonia, it is in the form of minute granules which are either scattered along 386 ; KING. [VoL. XIX. the nuclear membrane or distributed on the linin fibres which form an irregular reticulum. The nucleus contains several deeply staining nucleoli of various sizes which are suspended in the meshwork of the reticulum or held against the nuclear membrane. In preparations stained with safranin and gen- tian violet the larger nucleoli invariably take the safranin while the rest of the nucleus is stained blue with the gentian violet, and these bodies must, therefore, be considered as plasmosomes; the very small nucleoli, which are found chiefly at the points of intersection of the linin threads, are karyo- somes since they take the chromatin stain. In the cytoplasm, which stains very faintly and appears somewhat reticular, there is a vitelline body (Fig. 20, V); but I have not been able to find any traces of a centrosome or of an attraction- sphere in this or in any later period in the development of the oocyte. As there are no centrosomes at the poles of the ma- turation spindle (King, 51), it seems probable that the egg centrosome disappears after the last oogonal division and that the attraction-spheres found at the poles of the segmentation spindle are formed in conjunction with the sperm-nucleus, probably under the influence of the centrosome imbedded in the substance of the sperm-head. As the odcyte enlarges its outline becomes more regular and much more distinct. The nucleus, which measures about 0.0! mm. in diameter at this time, soon assumes the rounded form which it retains up to the maturation period (Fig. 21), and its reticulum appears continuous and much more sharply de- fined than at an earlier period (Fig. 22). The number of nucleoli is not appreciably increased during the early growth period of the oocyte. V. SYNIZEsSIS AND Post-SYNIZESIS STAGES. Although the stage in the development of the oocyte shown in Fig. 22 is practically at the beginning of the growth period it corresponds, apparently, to the stage at the end of the growth period of the spermatocyte (King, 52; Fig. 15). In No. 2.] THE OOGENESIS OF BUFO LENTIGINOSUS. 387 both cases the nucleus contains a granular reticulum which appears to be continuous; and in both oocyte and spermatocyte this stage is followed immediately by one in which there is a gradual condensation of the nuclear contents leading to synizesis (Fig. 25). The beginning of the process of con- densation in the odcyte is shown in Fig. 23, where the greater part of the chromatin reticulum is seen to be collected in the centre of the nucleus. In the following stage the contraction of the nuclear reticulum becomes more marked (Fig. 24), and eventually all of the nuclear contents forms a more or less rounded mass in the centre or at one side of the nucleus (Fig. 25). In favorable preparations the contraction figure is found to be composed of a tangled mass of exceedingly fine filaments in the meshes of which there are several round, apparently homogeneous bodies which are doubtless the plas- mosomes: a number of the filaments run out from the central body and connect this structure to the nuclear membrane. At this stage it is impossible to follow in detail the changes that are taking place in the nucleus or to determine what relation the fine filaments bear to the nuclear reticulum of the earlier stage. The condensation of the nuclear contents in synizesis is not carried quite as far in the ooyctes of Bufo as it is in the spermatocytes where the contraction figure frequently appears as a rounded, apparently homogeneous mass con- nected by a few fine filaments to the nuclear wall (King, 52; Figs. 20-22). In toads killed at the time of metamorphosis the ovaries con- tain large numbers of secondary oogonia and young oocytes, although only a few of the latter have reached the synizesis stage at this time. Contraction figures are frequently met with . in the ovaries of young toads killed about four weeks after their metamorphosis, and they are found very abundantly afterwards until the toad has attained a body length of about 1.5 cm. As I have already pointed out in the case of the spermatocytes of Bufo, I do not think it possible that the con- traction figures are due to a bad preservation of the material as Janssens (47) has asserted is the case in Batracoseps atten- 388 KING. [Vor. XIX. uatus, since oocytes with their nuclei in synizesis are found in — all parts of the ovary and frequently lie adjacent to oocytes in which the chromatin is in the form of a clearly defined con- tinuous spireme (Fig. 22). Any method of fixation that would cause such a decided distortion of the nuclear contents in the one cell must of necessity have some effect on a neigh- boring cell which is in but a slightly different stage of develop- ment. In Bufo synizesis is not due to the degeneration of certain cells as Kingsbury (53) has claimed is the case in Desmagnathus fusca, since only in very rare instances are de- generating eggs to be found in the ovaries of young toads. Degenerating eggs, whether they are found in the ovaries of young toads or in those of adults, are usually deeply pigmented and they are invariably filled with phagocytes; they never resemble in any way the oocytes shown in Figs. 24-25. Synizesis, which is a well recognized stage in the develop- ment of the odcytes and spermatocytes of many forms, has, for the most part, been ignored by the investigators who have worked on the germ-cells of amphibians, or its presence has been considered as evidence of a degeneration of the cell. Gemmil describes a stage in Pelobates fuscus in which the nucleus of the young odcyte contains a star-shaped mass of chromatin which lies in the middle of a clear area and sends out processes to the nuclear membrane. It is evident, from the figures which Gemmil gives, that synizesis is the normal stage in the development of the ova of this amphibian. Nuss- baum figures condensation stages in the young germ-cells of Rana fusca when they are enclosed in a cyst membrane. He has, however, mistaken the order of sequence in the develop- . ment of the cells, as he considers that the contraction stage preceded one in which the cell contains a mulberry-shaped nucleus. Bataillon, Leydig, and Hoffman also mention the appearance of contracting figures in the course of the normal development of amphibian ova, although they venture no opin- ion as to the significance of these bodies. Bouin has entirely overlooked in Rana temporaria the young oocytes shown in my Figs. 20-22, and the earliest stage that he No. 2.] THE OOGENESIS OF BUFO LENTIGINOSUS. 3890 figures as an oocyte (Plate XII; Fig. 6), is about like that of my Fig. 39. He does not believe that synizesis is a nor- mal stage in the development of the odcytes of Rana, although he figures contraction stages of the nuclei in cells which he considers as o6gonia that are not able to develop into oocytes. His description of the nucleus of one of these “degenerating” cells is as follows: “On constate que les microsomes constitutifs du réticulum chromatique se gonfluent, se soudent les uns aux autres, forment des amas irréguliers qui se colorent comme les chromosomes des noyaux en mitose. Ces amas peuvent rester isolés dans l’aire nucléaire ou s’amalgamer en un bloc chromatique de faibles dimensions.”’ The one figure which Bouin gives of such nucleus (Plate XI; Fig. 15), shows the synizesis stage in Rana which corresponds closely to that in Bufo shown in Fig. 25; and many of his other figures show post-synizesis stages comparable to those in Bufo (Plate XI; Figs. 10, 11: Plate XII; Figs. 2-5). In a recent paper Lams (57) has given a description of the stages in the early development of the oocytes of Rana tempo- raria which were overlooked by Bouin. According to this investigator the nuclear membrane does not disappear at any time during the transition of the oogonia into the oocytes. In the young odcytes the chromatin filaments gradually condense at one pole of the nucleus until they form a rounded, deeply staining mass which appears much like that shown in my Fig. 25. In post-synizesis stages this contracted mass resolves into a system of filaments which subsequently divide longitudinally and scatter throughout the nucleus. This work of Lams, with that of Bataillon and Leydig, furnishes conclusive evidence that synizesis is a normal stage in the development of the oocytes of Rana. It is unfortunate that the contracted condition of the nuclear contents during synizesis prevents a detailed study of the changes taking place in the chromatin at this time. It is evident that during synizesis the nuclear reticulum is no longer continuous, and that it becomes broken up into a large number of exceedingly fine filaments. Some of these filaments appear 390 KING. [Vou XIX. to be composed of a series of minute granules; others of delicate linin threads. As the plasmosomes can still be found during synizesis it is probable that they play no part in the changes taking place in the chromatin. From the contraction figure shown in Fig. 25 there is evolved a long, apparently continuous, much convoluted spireme which is made up of a series of deeply staining chro- matin granules distributed on a linin thread (Fig. 26). In the meshes of this spireme there are several nucleoli of various sizes, and there are also from one to five irregularly shaped, apparently homogeneous nuclear masses which are distributed along the nuclear membrane. These masses all stain intensely black with iron hematoxylin as does also the spireme. If, however, preparations have been satisfactorily stained with safranin and gentian violet the spireme is deep blue, the very small nucleoli appear red, while the large nucleoli and the masses against the nuclear membrane are purple, thus indicat- ing that they are composite structures although they usually appear homogeneous at this time. From the stage shown in Fig. 21 to that of Fig. 26 the oocytes do not grow to any appreciable extent and the nuclei measure from 0.011-0.013 mm. in diameter. After synizesis there is a rapid increase in the amount of cytoplasm and in the size of the nucleus (Fig. 27). The chromatin spireme be- comes more evenly distributed throughout the nuclear space, and it is noticeably thicker than at the stage of Fig. 26. In the succeeding stage the spireme begins to split longitudinally (Fig. 28). As the sister portions of the spireme are only about one-half of the thickness of the spireme at the stage of Fig. 27 it is evident that there is a true longitudinal division of the spireme at this time and not a folding together of chromatin filaments similar to that which occurs in the young odcytes of the rabbit according to the investigations of von Winiwarter (93). At the stage of Fig. 29 the greater part of the spireme has divided and many of the sister threads have separated a considerable distance. When the splitting of the spireme has been completed the sister threads lie parallel, for the most No. 2] THE OOGENESIS OF BUFO LENTIGINOSUS. 301 part, although they are not connected in any way. The threads do not present the clear cut, granular appearance of the spireme shown in Fig. 26, as they have a jagged outline and send out fine projections on either side. There is absolutely no uniformity in the arrangement of the chromatin threads after the splitting of the spireme. At times the sister threads seem to lie close together throughout their whole extent (Fig. 30) ; again the sister portions of the spireme lie parallel for a short distance and then become widely scat- tered throughout the nucleus (Fig. 31); in rare cases, as shown in Fig. 32, the chromatin threads are as evenly dis- tributed throughout the nucleus as they are at the stage shown in Fig. 27, and there is nothing except the size of the nucleus and the character of the threads to indicate that there has been a splitting of the spireme. I am very sure that such a condition-of the chromatin as that shown in Fig. 32 could not have been brought about by a gradual lengthening of the spireme, since the great majority of nuclei intermediate in size between that of Fig. 27 and that of Fig. 32 appear similar to those shown in Figs. 28-31. Soon after the stage of Fig. 30 the spireme breaks trans- versely, forming, in most cases, long double segments which vary considerably in length (Figs. 33, 34, 36, 37). The sister portions of the segments may lie parallel or they may be intertwined in various ways; they may be united at one or at both ends, forming a figure 8 or an oval ring; in other cases both ends of the segments are free and the threads cross in the form of an X or a Y. The condition of the chromatin threads shown in Figs. 30-34 is found in nuclei having a diameter of 0.015-0.02 mm. I have tried to reconstruct a nucleus in the stage of devel- opment shown in Figs. 33-34, by placing together a series of camera drawings of all of the sections of the nucleus, in the hope that I might be able to determine by this means the total number of chromatin segments. Owing to the fact that the segments are of different lengths and that they are united in a great variety of ways, it has been very difficult to arrive at any 302 KING. [Vov. XIX. exact conclusion regarding their number. I believe, however, that the nucleus at this stage contains only the somatic number of chromosomes (24) which are usually arranged in twelve pairs. The question at once arises as to the value of the sister segments which form a pair. Is the splitting of the spireme shown in Figs. 28-30 a longitudinal division of chromosomes united end to end in the spireme or is it a separation of uni- valent chromosomes which had conjugated side by side? This question is very difficult to answer since it is impossible to de- termine what changes the chromatin undergoes during syn- izesis. As the nucleus apparently contains but twenty-four chromatin segments which in later stages of development are scattered throughout the nucleus and only occasionally found in pairs, I am inclined to the opinion that each .of the sister segments represents an odgonial chromosome. The paired arrangement of the chromosomes at the stage of Figs. 33-34 strongly suggests that in the odcytes of Bufo synapsis is co- incident with synizesis as it is apparently in the spermatocytes ; yet for various reasons, which will be given later, I am inclined to consider that synapsis does not occur until the beginning of the maturation period. At the stage of Figs. 20-21 all of the young oocytes in a cyst are approximately of the same size and in practically the same stage of development. As the synizesis period approaches the oocyte which lies nearest the cavity of the ovary grows very rapidly and soon becomes several times the size of its neighbors. 1,000. Fic. 4.—Section of the germinal ridge in a tadpole eleven days old. 1,000. Fic. 5.—Transverse section of a divided germinal ridge in a tadpole thirteen days old. X 1,000. Fic. 6.—Longitudinal section showing the extent of the germinal ridge in a tadpole thirteen days old. XX 47. Fics. 7-9.—Sections through the germinal ridge in a tadpole fifteen days old showing the character of the cells at different levels. XX 1,334. Fic. 10.—Early prophase of mitosis in a primordial germ-cell. X 1,334. Fics. 11-12.—Equatorial plate in a primordial germ-cell. All 24 chro- mosomes are shown. XX 1,334. Fic. 13.—Longitudinal section of a spindle during the metaphase. Only 5 of the chromosomes are shown. 1,334. Fic. 14—Late anaphase in a primordial germ-cell. XX 1,334. Fic. 15.—Section of the ovary at the time when sex is first apparent. Taken from a tadpole with very well-developed hind legs. > 1,000. Fic. 16.—Section of a young ovary showing the beginning of the formation of a central cavity. Taken from a tadpole about to undergo metamorphosis. > _ 1,000. Fic. 17.—Section of a young ovary containing a central cavity. Taken from a tadpole at the time of metamorphosis. X 1,000. a et ¢ THE OOGENESIS OF BUFO LENTIGINOSUS HELEN DEAN KING ee ee JOURNAL OF MORPHOLOGY--VOL. XIX. NO. 2 ze % Fic. 18.—Cyst of secondary odgonia in the resting stage. XX 1,334. Fic. 19.—Cyst containing secondary odégonia in various stages of mitosis. XX 1,334. Fic. 20.—Young oocyte with oval nucleus. X 1,334. Fic. 21—A slightly later stage than Fig. 20. The nucleus of the oocyte has assumed a rounded form. XX 1,334. Fic. 22.—Early growth stage of the odcyte. The nucleus contains a well defined, apparently continuous spireme. X 1,334. Fics. 23-24.—Stages showing the gradual condensation of the nuclear substance previous to synizesis. XX 1,334. Fic. 25.—Synizesis stage. XX 1,334. Fics. 26-27.—Post-synizesis stages. Part of the chromatin has been evolved in the form of a continuous convoluted spireme: the nucleoli and the rest of the chromatin appear in the form of irregular masses lying against the nuclear wall or in the meshes of the spireme. XX 1,334. Fics. 28-29.—Stages showing the longitudinal splitting of the spireme. X 1,334. | Fic. 30.—Slightly later stage. The sister portions of the spireme have begun to separate. XX 1,334. Fic. 31.—Young odcyte surrounded by its zona pellucida. In the nucleus the sister portions of the spireme are almost entirely separated. X 1,334- Fic. 32.—Section of an odcyte in which there is a complete separation of the sister portions of the spireme. XX 1,334. Fics. 33-34.—Nuclei of the young odcytes showing the division of the spireme into double segments. XX 1,334. Fic. 35.—Section of the nucleus of a young odcyte showing the begin- ning of the resolution of the amorphous masses shown in Figs. 26-34. X 1,334- Fic. 36.—Section of a young odcyte showing the differentiation of one of the amorphous masses into a meshwork of chromatin threads and rounded nucleoli. 1,334. Fic. 37—Section of a cyst containing odcytes in different stages of development. X 1,000. Fic. 38.—Stage following that of Fig. 36, showing the relation of the nucleoli, the oxychromatin threads and the chromosomes. In the cytoplasm are numerous vitelline bodies. XX 1,334. Fic. 39.—Section of a young odcyte. The chromosomes are scattered throughout the nucleus and they have assumed the feathery appearance which characterizes them throughout the rest of the growth period. The oxychromatin threads are entirely separated from the nucleoli and have become very granular. In the cytoplasm are numerous vitelline bodies of various sizes. XX 1,334. THE OOGENESIS OF BUFO LENTIGINOSUS HELEN DEAN KING J Fr OURNAL OF MORPHOLOGY--VOL. xix NO. 2 Fics. 40-41.—Sections of the nuclei in odcytes of a young toad with a body length of 3.5 cm. A large nucleolar body, oxychromatin threads and feathery chromosomes are shown. 1,000. Fic. 42.—Section of the nucleus in the odcyte of a toad with a body length of 3 cm. Some of the nucleoli stain faintly and are evidently in the process of dissolution. X 1,000. Fic. 43.—Section of a nucleus in an odcyte of a toad with a body length of 4 cm. showing the fragmentation of a large nucleolar body, scattered oxychromatin threads, and a pair of chromosomes. > 1,000. © Fic. 44.—Part of a section of an egg taken from a young toad with a body leygth of 5.5 cm. The yolk-nuclei are collected in a zone lying mid- way between the nucleus and the periphery of the egg. Diameter of the egg is 0.23 mm.; of the nucleus, 0.11 mm. _I,000. Fic. 45.—Drawn from an egg taken from the same ovary as that from which Fig. 44 was taken. Differentiation of the compound-nucleoli with the aid of safranin and gentian violet. 1,000. Fic. 46.—Part of a section of an egg taken from a toad with a body length of 5 cm. The yolk-nuclei are forming at the expense of the vitel- line bodies. 1,000. Fic. 47.—Division stages of a vitelline body. X 1,334. Fic. 48.—Section of the nucleus of an egg taken from the ovary of an adult toad killed the latter part of April. The plasmosomes are separated from the chromatin and most of them are massed at one side of the nucleus. Diameter of the nucleus, 0.2mm. X 333. re * NTIGIN THE OOGENESIS OF:BUFO LENTIGINOSUS , i PLATE HELEN DEAN KING > pe JOURNAL OF MORPHOLOGY--VOL. XIX NO. 2 Fic. 49.—Section of the nucleus of an egg taken from an adult toad killed the latter part of April. The chromosomes occupy the centre of the nucleus, while the plasmosomes are very evenly distributed about the nuclear periphery. X 333. Fic. 50.—Section of the nucleus of an egg taken from an adult toad killed early in May. The plasmosomes have migrated to the interior of the nucleus and they enclose the chromosomes. X 333. Fic. 51.—Peculiar types of compound-nucleoli found in many of the nuclei during the later development of the odcytes. XX _ 1,334. Fic. 52.—Stages showing the formation of yolk spherules from a vitel- line body. X 1,334. Fic. 53.—Yolk-nuclei and vitelline bodies in an egg taken from an adult toad killed the latter part of April. X 1,000. Fic. 54.—Part of a section of an egg taken from a young toad with a body length of 5.5 cm. New yolk-nuclei are forming at the periphery of the egg, and the older ones closely surround the nucleus. _ 1,000. Fic. 55.—Formation of yolk spherules at the periphery of an egg taken from an adult toad killed in May. 1,000. Fic. 56.—Part of the section of an egg taken from an adult toad killed in May. At the periphery of the egg a layer of yolk spherules is forming at the expense of yolk-nuclei and vitelline bodies. The layer of yolk- nuclei around the nucleus is beginning to disappear. < 667. THE OOGENESIS OF BUFO LENTIGINOSUS PLATE IV HELEN DEAN KING 50 52 49 ®@ : z & se = ee @ e@ @ %, @°- © 9 ® ® @ e © @-e °e © °ce. : - @ URNA JOURNAL OF MORPHOLOGY--VOL. XIX NO. 2 LAE STRUCTURE AND DEVELOPMENT "OF BLD- DER’S ORGAN IN BUFO LENTIGINOSUS. By HeEten DEAN KING. At the anterior end of the testis in all of the Bufonidae is the rounded body to which Spengel gave the name “Bid- der’s organ.” Although many of the investigators who have worked on the germ-cells of the Anura have examined this organ and ventured a conjecture as to its nature and probable function, Knappe (18) is the only one who has studied its development in any detail. In his paper, which appeared over twenty years ago, Knappe gives but a brief account of the early development of this body and he pays but little attention to the nuclear changes in the cells. Those who have more recently worked on Bidder’s organ believe, with Knappe, that this body is a rudimentary ovary, and they have been more interested in studying the maner in which the cells degenerate than in trying to determine the reasons for this degeneration. As an investigation of the nuclear and cytoplasmic changes oc- curring in the cells of Bidder’s organ during its early devel- opment might possibly give some clue to the function of this body and to the causes for the degenerative processes which occur in it, I have studied the structure and the formation of this organ in Bufo lentiginosus in connection with my other work on the germ-cells of this amphibian. Especial attention has been given in this study to the behavior of the chromatin and to the differences between the germ-cells in Bidder’s organ and those in the ovary which become functional eggs. For this investigation I have made use of material prepared for a study of the spermatogenesis and oogenesis of Bufo lentig- inosus. Methods of fixation and of staining are given in detail in preceding papers. . The formation of Bidder’s organ is first apparent when a tadpole is from fifteen to eighteen days old. Transverse sec- 439 44C KING. [Vou XIX. tions through an embryo in this stage of development show that the anterior portion of each genital ridge has developed much more rapidly than the rest and that this region contains from five to eight large primordial germ-cells (Fig. 2), while the middle and posterior regions never contain more than three of these cells at this time. The anterior part of the genital ridge, which has begun to develop into Bidder’s organ, is continuous with the part which later becomes the sex-gland, and the cells in one region appear exactly like those in any other (Ci. Fig. 25 Plate Voand Pics, Plate 1), At ties ginning of its development, therefore, Bidder’s organ is com- posed of two kinds of cells: large rounded primordial germ- cells which have a faintly staining polymorphic nucleus; and small peritoneal cells in which the nucleus stains very deeply and is usually elongated. There are no intermediate stages between these two kinds of cells, and in Bidder’s organ, as in the sex-gland proper, the primordial germ-cells must arise from undifferentiated embryonic tissue. Bidder’s organ develops much more rapidly than the sex- gland, and it has attained a considerable size long before it is possible to ascertain the sex of the individual. During the very early stages in the development of Bidder’s organ the large germ-cells divide by mitosis; the stages in this process being similar to those taking place in the cells of the sex-gland. In the prophase of mitosis twenty-four deeply staining chro- matin segments are formed which condense into V-shaped chromosomes (Fig. 3, X). The spindle has a small centro- some at each pole which is devoid of radiation (Fig. 3, Y). It is only the early generations of germ-cells in Bidder’s organ that are able to divide by mitosis; in later development the division of the cells is invariably by amitosis. In a series of papers dealing with the germ-cells of Moniezia, Child (8, 9g) has maintained that amitosis is the usual method by which the germ-cells in this form increase in number, and he is in- clined to believe that amitosis occurs much more frequently in normal development than most investigators admit. Ami- tosis is the normal method by which the germ-cells in Bidder’s No. 2.] DEVELOPMENT OF BIDDER’S ORGAN. 441 organ increase in number after a certain period in the devel- opment of this organ, but the cells so dividing are not capable of becoming functional eggs. In Bufo, amitosis in the germ- cells is undoubtedly correlated with degeneration since the germ-cells which become functional always divide by mitosis (King, 16). Hoffmann (14) is, I believe, the only investigator who has found the cells of Bidder’s organ dividing by mitosis. Knappe states that from the beginning the increase in the number of cells in this organ is solely through amitosis. In tadpoles of Bufo lentiginosus it ts possible to find amitosis and mitosis oc- curring simultaneously in Bidder’s organ (Fig. 3, A and Y), but a cell dividing amitotically is always older than one divid- ing by mitosis, since the nucleus of a cell has to undergo a definite series of changes before amitosis occurs. After a cell has once divided directly it is not capable of again dividing by mitosis. The resting germ-cells in Bidder’s organ appear similar to the resting germ-cells in the sex-gland, as they.are large round or oval cells with polymorphic nuclei which contain a faintly staining granular reticulum and several nucleoli (Cf. Fig. 4, Plate V and Fig. 18, Plate IL). Owing doubtless to the rapid growth of Bidder’s organ the yolk spherules disap- pear from its cells much sooner than from the cells of the sex- gland, and they are rarely to be found in the anterior part of the genital ridge after the tadpole has attained a length of 7-8 mm. When the yolk has disappeared the cytoplasm of the germ-cells appears granular, and it is found to contain one or two vitelline bodies (Fig. 4, V) and a centrosome (Fig. 3, C). At this stage of development there is nothing to indi- cate that these cells differ in any way from the germ-cells in the other portions of the genital ridge. After the last mitotic division the cells take on the character of young odcytes and they usually have several peritoneal cells flattened against their outer surface (Cf. Fig. 5, Plate V and Fig. 21, Plate II). The nucleus of the cell is no longer poly- morphic but rounded in outline and it contains a faintly stain- 442 KING. [ VoL. XIX. ing chromatin reticulum in the meshes of which there are several nucleoli. The nucleus maintains its rounded form dur- ing the later development of the oocyte and it only becomes irregular when the cell degenerates. I cannot confirm Knappe’s observations that the nucleus of the cells of Bidder’s organ sometimes sends out amoeboid processes by which it moves about to accelerate the taking up of nourishment. At the stage of Fig. 5 the cells are usually collected in cell nests, as are the young odcytes in the ovary. All of the cells of a nest are in practically the same stage of development, and doubt- less all have arisen by the repeated division of one primordial germ-cell. During the early stages of its development Bidder’s organ has no outer membrane, but shortly before the tadpole undergoes its metamorphosis this body becomes surrounded by a capsule which is formed by the peritoneal cells in a manner similar to that by which the outer ovarian wall is formed. The development of the young oocytes in Bidder’s organ parallels that of the ovarian odcytes. After the stage of Fig. 5 the cell body and the nucleus enlarge very rapidly and the chromatin forms an apparently continuous spireme which stains rather faintly (Fig. 6). When the nucleus has attained a diameter of about 0.013 mm., the chromatin shows a marked increase in its capacity for staining and the spireme, which has become much thicker and somewhat jagged in outline, be- gins to condense (Fig. 7). This condensation continues until practically all the chromatin is collected in the centre of the nucleus where it forms a loose mass of fine fibres in which are imbedded several nucleoli (Fig. 8). This is the synizesis stage in the odcytes of Bidder’s organ. It corresponds ap- proximately to the stage in the contraction of the nuclear con- tents in the ovarian odcytes shown in Plate II, Fig. 24, since the meshwork of fibres is considerably looser and the fibres themselves are much coarser than those in the synizesis stage of the egg shown in Plate II, Fig. 25. Slight as the differences appear between the synizesis stage in the ova of Bidder’s organ and that of the ovarian oocytes, No. 2.] DEVELOPMENT OF BIDDER’S ORGAN. 443 their effects on the latest development of the cells of Bidder’s organ are far reaching since, after the stage of Fig. 8, the nuclei of these cells appear, as a rule, very different from the nuclei of the same size in the ovarian ova. The development of the ova in Bidder’s organ is similar to that of the germ- cells in the ovary only until the synizesis stage. During the time that the chromatin forms a contracted mass in the centre of the nucleus changes occur which check normal development and eventually bring about a degeneration of the cells. Just what these changes are it is impossible to determine. A com- parison of the early post-synizesis stages in the cells of Bid- der’s organ with similar stages in the ovarian ova indicates that during the contraction period in the cells of Bidder’s organ the chromatin does not become arranged in a normal manner, since in later stages there is no separation of the chromatin that is normally used for the chromosomes from the chromatin that has other uses in the cell, as is the case in the ovarian ova. The turning point in the development of the ova in Bidder’s organ is, therefore, the synizesis stage. Since normal development is not possible beyond this period, except in rare instances, it is evident that the causes which bring about the degenerative processes in the cells of Bidder’s organ manifest themselves during synizesis and that they act in such a way as to prevent a normal arrangement of the chromatin granules. Since the amount of chromatin in the nucleus is apparently not affected by these changes it must be that it is the arrangement of the chromatin granules that is the important thing in synizesis. The fact that the cells of Bid- der’s organ show degenerative changes and divide by ami- tosis soon after synizesis strengthens my belief that synizesis in the egg of Bufo is a means by which the chromatin which bears the hereditary qualities is separated from the chromatin which has other uses in the cell. This separation is not ef- fected during the synizesis stage in the ova of Bidder’s organ, consequently these cells are not capable of developing into functional eggs. Since Bidder’s organ develops much more rapidly than the sex-gland, it is possible, perhaps, that the rapid growth of the 444 KING. [Vor. XIX. cells may in a measure be responsible for the deviations from the normal processes which occur during synizesis. On this assumption to determine the causes for the rapid growth of Bidder’s organ would be to determine also the reason for the degeneration of its cells. These causes must be sought through experimental work; they cannot be determined from a mor- phological study of this body. Occasionally, in later development, I have found nuclei in the cells of Bidder’s organ which were very much like nuclei of ovarian eggs of the same size (Cf. Plate V, Fig. 20 and Plate III, Figs. 40-43). In such cases it can only be supposed that the nuclear changes which took place during synizesis were nearly like those occurring in the ovarian ova and, conse- quently, that the cells could continue for a longer time to de- velop in a normal manner. Stages in the development of the young oocytes of Bidder’s organ through the synizesis stage shown in Fig. 8 are to be found in young tadpoles in which the sex-glands are still in an apparently indifferent state. Soon after the synizesis period the cell nests are broken up and the ova, which are surrounded by follicle cells, become separated by the connec- tive tissue stroma which develops throughout the organ. The formation and development of the ova proceeds from the periphery centripetally; the oldest and largest cells lie to- wards the center of the organ, the youngest cells towards the periphery. In tadpoles killed at the time of metamorphosis and also in young toads one frequently finds at the periphery of Bidder’s organ nests of young ova in various stages of synizesis. It is doubtless such cell nests that Hoffmann and Cerruti (5) have considered as cysts containing sperm-cells, since the cells at this time bear but little resemblance to the later stages in the development of the ova and they appear somewhat like certain stages in the development of the spermatocytes. I have never found sperm-cells in the ova of Bidder’s organ. Oblique sections passing through the posterior part of this organ may show the sperm-cells of the upper part of the testis No. 2.] DEVELOPMENT OF BIDDER’S ORGAN. 445 in close contact with the large ova of Bidder’s organ, but as von Wittich (34) states, Bidder’s organ is always clearly marked off from the testis; one never passes gradually into the other as Knappe and Ognew (24) maintain is the case in Bufo vulgaris. The sharp distinction between Bidder’s organ and the sex-gland is not maintained in the female of Bufo len- tiginosus after the first year, since at about this time the cavity of Bidder’s organ becomes continuous with the central cavity of the ovary. Knappe asserts that he has found mature spermatozoa in the cells of Bidder’s organ that have begun to degenerate, and-he believes that these spermatozoa have de- veloped from follicle cells that have entered the cytoplasm of the ova. Ina recent paper (King, 17) I have shown that the structures considered by Knappe as spermatozoa are very probably parasites, since the figures which he gives of these bodies are very similar to certain stages in the life cycle of a sporozoan parasite which infects the cells of Bidder’s organ in the American toad, Bufo lentiginosus. As the nuclei in the cells of Bidder’s organ emerge from synizesis the nuclear contents does not become arranged in a manner similar to that found in the nuclei of the ovarian ova in early post-synizesis stages. In the great majority of cases practically all of the chromatin goes into a continuous spireme (Fig. 9), while the greater portion of the plasmosome sub- stance is collected into one or two rounded masses which lie in the meshes of the spireme or against the nuclear mem- brane (Figs. 10, 14). In some few nuclei the plasmosome masses have a smooth outline and they color uniformly red when preparations are stained with safranin and gentian violet (Fig. 14). In such cases it is evident that all of the chroma- tin, except that found in the few small karyosomes which are scattered about the nucleus, has gone into the spireme. In other nuclei a small amount of chromatin remains attached to the outer surface of the plasmosomes, giving these bodies a slightly irregular outline (Figs. 9, 10). Nucleolar masses of this kind correspond in structure to the compound-nucleoli found in the ovarian ova, and their subsequent fate is the 446 KING. [VoL. XIX. same since they undergo a resolution into plasmosomes and ~ oxychromatin granules (Figs. 21-25). | The continuous spireme found at the stage of Fig. 9 ap- pears granular and somewhat irregular in outline. It does not undergo a longitudinal splitting at any stage of develop- ment, but it divides transversely into a number of segments which are of various lengths (Figs. 10-14). These segments are scattered throughout the nucleus and they are never found in pairs. Camera drawings of all of the sections of a nucleus in this stage of development show that the number of chro- matin segments is greater than the somatic number (24). All of the chromosomes appear granular, as a rule, and numerous fine projections extend out from either side (Fig. 16); only in rare instances (Fig. 20) do any of the chromosomes assume the feathery appearance which characterizes the chromosomes in the later growth stages of the ovarian ova. In later de- velopment all of the chromosomes break up into minute granules which are dissolved in the karyoplasm when the egg degenerates. Usually the cells begin to divide by amitosis soon after the spireme has broken into segments. Nuclear divisions some- times follow each other rapidly, and a cell may contain several rounded nuclei before the cytoplasm divides (Fig. 31). Asa rule, the largest nucleolus divides once or twice before the nucleus itself divides. A constriction appears in the middle of the nucleolus (Fig. 11), and it subsequently breaks into two rounded portions which are nearly equal in size (Fig. 12). The two nucleoli thus formed usually move to opposite sides of the nucleus before the nucleus divides (Figs. 10,13). The nucleus elongates considerably previous to amitosis (Fig. 15), and it is constricted into two nuclei of approximately equal — size (Figs. 16, 17, 19). Each nucleus contains at least one large nucleolus and apparently half of the chromosomes (Fig. 19); and one or both of the nuclei may divide again before the cytoplasm of the cell shows any evidence of a division (Fig. 31). Amitosis is frequently seen in the cells of Bidder’s organ in tadpoles killed at the time of metamorphosis, and it can be No. 2.] DEVELOPMENT OF BIDDER’S ORGAN. 447 found in practically every section of Bidder’s organ taken from young toads or from adult males. By the time that the nucleus has reached the stage of Figs. 10-13 the follicle cells have formed a membrane around each egg, the zona pellucida (Figs. 27, 28, 30). Not infrequently a blood corpuscle is to be found among the follicle cells which lie inside of the zona pellucida in contact with the outer sur- face of the cell (Fig. 19, B. C.). In the early stages of the development of Bidder’s organ the cytoplasm of the young oocytes contains a single vitelline body which is sometimes surrounded by a clear area as it is in the ovarian ova (Fig. 7, V). About the time of synizesis this vitelline body divides repeatedly, and by the time that the egg has attained a diameter of 0.035 mm. there are a num- ber of these bodies of various sizes scattered throughout the cytoplasm (Fig. 16). Will (33) and Leydig (20) maintain that the rounded bodies in the cytoplasm of the egg of Rana (which are similar to the vitelline bodies in the egg of Bufo) are nucleoli which have migrated from the nucleus into the cytoplasm in order to form the yolk. Such an origin for the vitelline bodies in the cells of Bidder’s organ is impossible, since these bodies are increasing in number at the time that the nucleus rarely contains more than three or four small nucleoli. As is the case in the ovarian ova, the vitelline bodies bring about the formation of granular yolk-nuclei in the cells of Bidder’s organ, and, at the stage of development shown in Fig. 19, the cytoplasm of the cells sometimes contains a large number of these structures. The arrangement of the yolk-nuclei in the cells of Bidder’s organ differs from that found in the ovarian ova, since these bodies are always scat- tered irregularly throughout the cytoplasm and are never collected in a zone midway between the nucleus and the per- iphery of the egg. In many cases the yolk-nuclei form in a very abnormal manner, and a cell, instead of containing a large number of small yolk-nuclei, will contain only two or three of these structures which are very large (Fig. 18). In such ova one of the large yolk-nuclei almost invariably forms 448 KING. [Vou. XIX. a cap over one side of the nucleus, thus appearing very similar to the yolk-nuclei which, in many kinds of eggs, originate close to the nuclear membrane. Knappe states that in Bufo vulgaris about one year old the cytoplasm of the cells of Bidder’s organ contains a large, rounded, refractive body which is sharply marked off from the cytoplasm. He maintains, furthermore, that the nucleus puts out processes like pseudopodia which engulf this body; after- wards the pseudopodia are slowly withdrawn and the nucleus again becomes rounded, while the ball of substance is gradu- ally dissolved in the karyoplasm. I have not observed this remarkable phenomenon in the cells of Bidder’s organ in Bufo lentiginosus. In this species of Bufo, at certain stages in the development of Bidder’s organ, the cytoplasm of the cells contains many granular yolk-nuclei which are more or less rounded in form and sharply defined (Fig. 19), but I have never seen anything that would indicate that these masses are ever taken into the nucleus. The inability of the cells of Bidder’s organ to develop into functional eggs has been ascribed by Knappe to the fact that these cells are not able to form yolk. A study of the early de- velopment of Bidder’s organ in Bufo lentiginosus shows that in a great many of the cells the first stages in the formation of yolk take place, since yolk-nuclei are formed in a manner similar to that which takes place in the ovarian ova (Fig. 19). Except in the one case to be described later, I have never found the development of yolk in the cells of Bidder’s organ pro- gressing beyond the stages shown in Figs. 18-19. Were the processes leading to yolk formation independent of nuclear action it would seem as if they might continue beyond this point, since there is no evidence of cytoplasmic degeneration at the stage of Fig. 19. The degenerate condition of the nucleus at this time is shown by the arrangement of the nu- clear contents and by the fact that the cells are dividing amitotically. Fig. 26 shows a section of a cell taken from the Bidder’s. organ of a young male toad with a body length of 2 cm. In No. 2.] DEVELOPMENT OF BIDDER’S ORGAN. 449 this cell, and also in a few others lying near it, the cytoplasm contains a number of yolk spherules of various sizes. These spherules were not formed at the periphery of the egg, as is the case with the yolk spherules that first appear in the ovarian ova, but they were formed in, and from the substance of the yolk-nuclei scattered throughout the cytoplasm of the cell. The cytoplasm appears much vacuolated and the nucleus is in an advanced state of degeneration, while many of the large yolk spherules are disintegrating. The process of dissolution at first affects only a part of the yolk spherule, leaving a crescent shaped structure (Fig. 26, Y) which remains for a time and then disappears. This egg seems to me to furnish convincing evidence that yolk-spherules are formed from the substance of yolk-nuclei, and it also shows that the failure of the cells of Bidder’s organ to develop into functional eggs can- not be due entirely to their inability to form yolk, as Knappe claims. The compound-nucleoli which are found in some eggs dur- ing early post-synizesis stages (Figs. 9, 10) begin their reso- lution, as a rule, soon after the spireme divides into seg- ments. These bodies first become very irregular in outline (Fig. 21), and subsequently several light areas appear in them (Fig. 22). In later stages a differential stain, such as safranin and gentian violet, shows that these structures are composed of a mass of rounded plasmosomes embedded in chromatin granules (Fig. 23). The component parts of these masses are soon separated (Figs. 24-25), and the plasmosomes be- come distributed throughout the nucleus. Very little chro- matin is found in the compound-nucleoli in the cells of Bid- der’s organ compared with the amount that goes into the formation of the large nucleolar masses in the ovarian ova. Usually, after the resolution of the compound-nucleoli, the chromatin granules become scattered through the karyoplasm, only in exceptional cases (Fig. 20) is enough of the chromatin -separated from the spireme after synizesis to form oxychro- matin filaments. Nucleolar masses similar to those shown in Figs. 23-24 are evidently present in the cells of Bidder’s organ in Bufo vulgaris since Ognew states that he sometimes 450 KING. [More cine finds large nucleoli which have a very complicated structure, being composed of a number of deeply staining balls sur- rounded by a mass of granules. No matter how many plasmosomes a nucleus may contain there is usually one of these bodies that is larger than the others (Fig. 29); and one of the first indications of the ap- proaching dissolution of the nucleus is the formation of a fluid space around this large nucleolus (Fig. 17). The nu- cleolus itself at this time may appear homogeneous (Fig. 18), or it may contain one or many vacuoles (Fig. 17). In either case it stains less intensely than in earlier stages and it gradually decreases in size (Figs. 26-27), while the vacuole around it constantly grows larger (Figs. 18, 26, 29). As the fluid space becomes several times the size of the original nucleolus, its substance cannot be derived entirely from the nucleolus, but it must be obtained in part from the dissolution of the karyoplasm. The vacuole grows until it comes in con- tact with the nuclear membrane (Fig. 26). It then breaks at some point in its outer surface and the nuclear substance is in direct contact with the cytoplasm, as during the growth of the vacuole the nuclear membrane becomes very irregular in outline and it disappears entirely when the vacuole breaks (Fig. 27). While these changes are taking place the chromo- somes gradually break up into granules that cannot be dis- tinguished from the karyoplasm, and by the time the nuclear membrane has disintegrated most of the chromosomes have disappeared (Fig. 27). During the disintegration of the nu- cleus I have never found the chromatin in the form of ir- regular clumps as Ognew has found to be the case in the degenerating cells of Bidder’s organ in Bufo vulgaris. The degenerative changes just described are not found in the cells of Bidder’s organ until the young toad has attained a length of about 2 cm. Degenerative changes usually appear in the cytoplasm soon after the stage of Fig. 19, since only in rare cases is a cell able to form yolk spherules. If a cell contains a large number of yolk-nuclei at the time that these degenerative processes begin the yolk-nuclei are dissolved in situ, leaving clear fluid spaces + Nor 2,1 DEVELOPMENT OF BIDDER’S ORGAN. 451 in the cytoplasm which at first have the shape and size of the yolk-nuclei (Fig. 29). Later these spaces are united and the cytoplasm then contains several large vacuoles (Fig. 27). In cases in which the cytoplasm contains only a few large yolk- nuclei instead of a number of small ones (Fig. 18), these masses become sharply marked off from the cytoplasm when degenerative changes begin and they stain much more in- tensely than before. The appearance of these bodies thus be- comes so very different from that of the yolk-nuclei shown in Fig. 19 that it might be thought that they were not yolk-nuclei but the products of a fatty degeneration of the cytoplasm. In order to determine this point definitely several cells appearing much like that shown in Fig. 18 were drawn with the aid of a camera lucida and the preparations containing them were then put in ether where they remained for about two weeks. At the end of this time the slides were remounted and the same cells were again drawn. The irregular granular masses had not been affected in any way by the ether and they were just as large and conspicuous as before. These bodies cannot, therefore, be products of a fatty degeneration of the cytoplasm or they would have been dissolved by the ether. Soon after the stage of Fig. 18 these masses dissolve in situ and several large vacuoles are formed in the cytoplasm which later become connected as in Fig. 27. Knappe maintains that there are four ways by which the rudimentary eggs in Bidder’s organ disintegrate: (1) through the penetration into the cytoplasm of follicle cells which ab- sorb the egg substance; (2) through the development of pig- ment in the cytoplasm which seems to bring about a gradual collapse of the egg; (3) through the invasion of the cytoplasm by both follicle cells and blood capillaries; (4) through pig- ment formation combined with the penetration of blood capil- laries into the egg. To these Ognew, from his study of Bidder’s organ in Bufo vulgaris, adds a fifth method—a pecu- liar process in which the follicle membrane between two ad- jacent odcytes disappears leaving a space which grows in breadth and finally becomes a large spherical vacuole which is 452 KING. Dore DIDS filled with a fluid derived from the disintegration of the odcytes. Ognew also suggests as a special process of de- generation, the penetration of one cell of Bidder’s organ into another. From the very early stages in the development of Bidder’s organ.in Bufo lentiginosus the germ-cells are surrounded by follicle cells which are in direct contact with the outer surface of the cytoplasm, since the cells never seem to develop a yolk membrane as do the cells of Bidder’s organ in Bufo vulgaris according to the investigations of Ognew. After the stage of Fig. 29 the egg shrinks away from its zona pellucida and its outline appears somewhat irregular (Fig. 27). At this time many of the follicle cells lie in slight depressions in the egg surface as if they were already beginning to enter the egg. It would seem as if the absence of a yolk membrane might make it possible for follicle cells to penetrate into the eggs at any stage of development, but I have never found these cells inside of the egg until the nucleus and the cytoplasm have begun to degenerate. Stages in the penetration of the fol- licle cells into the egg are shown in Fig. 30. The cells do not show any ameeboid processes, but they appear to sink gradually into the substance of the cytoplasm. Fig. 32 shows a late stage in the absorption of the egg by means of the follicle cells; the nucleus has entirely disappeared and all that is left of the egg is a small amount of deeply staining, granu- lar substance. Sometimes, as shown in Fig. 30, B. C., blood corpuscles enter the cytoplasm with the follicle cells and evidently take part in the absorption of the egg. The zona pellucida be- comes very irregular as the egg degenerates, and, owing to the pressure of the surrounding eggs, it collapses after the egg has become partially absorbed and evidently suffers the same fate as the egg itself. The process described above is the usual method by which the eggs in Bidder’s organ disintegrate in all toads under two years old. Sometimes in young toads, more often in adults, a blood capillary breaks through the zona pellucida and forces No. 2.] DEVELOPMENT OF BIDDER’S ORGAN. 453 its way into the egg, taking with it a number of follicle cells (Fig. 28). In such cases the egg disappears very rapidly, its substance being absorbed directly by the blood. I have never found the cells of Bidder’s organ disintegrating as a result of the formation of a large amount of pigment in the cytoplasm. Pigment is rarely formed in the cells of Bidder’s organ in Bufo lentiginosus, and then only in adult males. In all of the cases which I have found the pigment was confined to a marrow zone around the periphery of the egg; it did not develop throughout the entire egg as is usually the case in eggs which are degenerating in the ovary. There was nothing in any of these eggs to indicate that the pigment was con- cerned in any way with the degenerative processes taking place in the cell. Although I have never found two adjacent odcytes degener- ating as a result of the development of a spherical vacuole between them, I have seen what Ognew considers as de- generation due to the penetration of one odcyte into another. _ This phenomenon was first described by Cerruti (6) in 1905. Cerruti states that in Bufo vulgaris the cytoplasm of one oocyte in Bidder’s organ sometimes forces its way into the cytoplasm of another odcyte. Later the nuclear substance of the entering cell flows towards the place of penetration and eventually one cell is engulfed by the other. Cerruti suggests that this process is analogous to the entrance of follicle cells into the egg, and that the entering cell may be considered as a parasite of the cell into which it penetrates. Ognew con- siders that this suggestion ventures too much since we would have to assume a subsequent struggle for existence between the two nuclei. Ognew does not think it possible that this phenomenon can be associated in any way with amitosis, and his only suggestion is that it is “a highly original process of degeneration” which requires further study. The figures given by Cerruti and by Ognew seem to me to show unmistakably that both of these investigators were dealing with cases of ami- tosis in degenerating ova which were greatly distorted in shape on account of the pressure of the surrounding cells. Bidder’s 454 KING. [ Mowe ule organ never grows beyond a certain size in adult males. During the summer months the cells of this body increase rapidly in number and also in size and they often become so crowded together that one cell forms a decided indentation in the surface of an adjacent cell. In preparing to divide the nuclei of such cells frequently become greatly elongated, much more so than shown in Fig. 17, and before the appearance of the division membrane it might readily seem as if the sub- stance of the nucleus was flowing in a certain direction and that the one egg was trying to force its way into another. Very often, during the division of these cells, currents seem to be set up in the cytoplasm and a portion of the cytoplasm around one nucleus may appear sharply distinct from the re- maining cytoplasm. On superficial examination such ova may give the impression that one cell has entered another since the egg contains two separate nuclei; one of them being surround- ed by cytoplasm which appears differently from the other cyto- plasm in the cell. The cell which has apparently engulfed one of its neighbors is never noticeably larger than the surround- ing cells; and both of its nuclei are similar to the nuclei in the adjacent cells, while its zona pellucida appears perfectly intact in all places. These facts seem to me sufficient proof that the egg in question is dividing amitotically and that it has not been entered by another cell. I do not see how it would be possible for one egg to enter bodily into another egg of practically the same size without causing a break in its zona pellucida or without producing a marked increase in the size of the cell and a profound change in its structure. Friedman (11) has observed that the cytoplasm of the de- generating eggs that are sometimes found in the testis of Rana viridis is often separated into two distinct portions which have no regular outline but dovetail into each other in vari- ous ways. One part of the cytoplasm has a granular structure and stains very intensely, while the other part is apparently homogeneous and stains very faintly. This appearance of the cytoplasm is probably due to an abortive attempt on the part of the cell to form yolk-nuclei similar to those shown in Fig. No. 2.] DEVELOPMENT OF BIDDER’S ORGAN. 455 18. There is the possibility, however, that it may be caused by currents in the cytoplasm of the degenerating eggs which separate the more fluid portion of the cytoplasm from the more granular, as is sometimes the case in the cells of Bid- der’s organ. The degenerative changes taking place in the cells of Bid- der’s organ are very similar to those which occur in mature amphibian eggs which have remained in the ovary after the breeding season, according to the investigations of Bihler (4), Dubnisson (10), Ruge (28), and others. In such eggs the chromatin breaks up into granules and, after the disappear- ance of the nuclear membrane, the substance of the nucleus mingles with that of the cytoplasm, the egg being finally ab- sorbed through the agency of follicle cells, leucocytes and blood capillaries which have penetrated into the cytoplasm. Eggs which are degenerating in the ovary are always heavily pig- mented, however, while pigment is rarely developed in the cells of Bidder’s organ and when it is present it never seems to be concerned in the degenerative processes. Bidder’s organ is a permanent structure in the males of all species of the Bufonidae so far investigated. In Bufo variabilis, Bufo cinereus, and Bufo calamita, this body dis- appears in the female at the end of the second year. In Bufo vulgaris, according to the observations of Knappe, Bidder’s organ disappears in the adult female during the winter and a new organ is regenerated during the summer months. Ac- cording to Ognew, Bidder’s organ does not disappear in the adult female of Bufo vulgaris during the winter, but it per- sists as a small shrunken organ which lies near the fat bodies. Bufo vulgaris is, therefore, the only species so far studied in which Bidder’s organ is a permanent structure in both male and female. In Bufo lentiginosus Bidder’s organ disappears in the female at the end of the second year and no traces of it are to be found in older females. During its early development this organ contains no central cavity, although there are a number of intercellular spaces between the rounded ova. After the 456 KING. [Vor. XIX. metamorphosis of the tadpole the cells of Bidder’s organ in- crease in number very rapidly and, owing to pressure, they are often greatly distorted. The central cavity is formed when the cells in the interior of Bidder’s organ degenerate; this oc- curs when a young toad has attained a body length of about 2cm. Inthe female, after the first year, the cavity of Bidder’s organ opens into the cavity of the ovary, as Knappe has stated is the case in Bufo vulgaris, and eventually the outer wall of this organ becomes continuous with the epithelial covering of the ovary. Bidder’s organ then appears as a small lobe of the ovary which is easily distinguished from the other lobes as the cells never develop beyond a certain stage. Bidder’s organ then gradually decreases in size and finally disappears. Although I have several times carefully examined entire ovaries of mature females, I have never been able to find any traces of this body. In the male toad Bidder’s organ varies greatly in size and in appearance at different seasons of the year. In the early spring this body appears shriveled and it is somewhat irregular in shape. Sections of Bidder’s organ taken’ from toads killed at the height of the breeding season in April show that at this time the organ has a very large central cavity and that it contains a considerable number of degenerating ova and only a few young eggs. In the early summer large numbers of new eggs are formed at the periphery of Bidder’s organ, and this body increases considerably in size and becomes more rounded. During the latter part of August and in September the large cells begin to degenerate in increasing numbers and only a very few young ova can be found. Ognew states that the development of Bidder’s organ is closely associated with the development of the sex-gland. When the sex-gland is resting, Bidder’s organ grows and the num- ber of cells increases, but from the time that the formation of the spermatozoa begins up to the period of sexual activity which occurs in April and May, this organ gradually de- creases in size. I cannot agree with Ognew that the sex- gland is “resting” during the summer months when Bidder’s No. 2.] DEVELOPMENT OF BIDDER’S ORGAN. 457 organ is increasing in size. My study of the spermatogenesis of Bufo lentiginosus (King, 16) has shown that early summer is the time when the sperm-cells are most actively dividing and that in August and September, when large numbers of the cells of Bidder’s organ are beginning to degenerate, the testes are filled with spermatids and spermatozoa. The growth of Bidder’s organ is therefore most rapid during the period when the cells of the testis are most actively developing into spermatozoa. The degeneration of numerous cells of Bidder’s organ at the end of the summer is not due to the beginning of a period of sexual activity on the part of the testes, but to the fact that these cells have reached their maximum stage of development and, since they can go no further, they must of necessity degenerate. During the winter there is no active formation of new cells in Bidder’s organ, and many of the cells already formed gradually reach their maximum develop- ment and then disintegrate. In the spring, therefore, Bidder’s organ is only about one-half of its former size. New cells are formed in great numbers in Bidder’s organ only at the time that new cells are developing in the testes. In adult males the nuclei of the cells of Bidder’s organ usually contain a number of small nucleoli rather than one or two large ones as is so often the case in the young animals. The cytoplasm of these cells usually appears uniformly granu- lar until it is beginning to be absorbed by the follicle cells and by the leucocytes. Yolk-nuclei are very rarely developed in these cells, and when they are found they always appear like the granular masses shown in Fig. 18. Disintegration of the cells through the agency of blood capillaries which have pen- etrated into the cytoplasm occurs much more frequently in the Bidder’s organ in the adult than in the young toad. Investigations have shown that Bidder’s organ is not found in the amphibians as a class, but that it is confined to the Bufonidae except in rare instances. In 1830, Muller (22) stated that a rounded body is present at the anterior end of the testes in tadpoles of Pelobates fusca and also in those of Rana. These observations have not been confirmed by other 458 KING. [Vou. XIX. workers and it is probable, as Knappe suggests, that Muller mistook tadpoles of Bufo for those of other species of am- phibians. Knappe found a Bidder’s organ in a young male Salamandra about two years old, but he gives no details of its structure. As far as I have been able to determine, these are the only recorded cases in which a Bidder’s organ has been found in amphibians other than the Bufonidae. The numerous cases of hermaphroditism that have been reported in different species of Rana and the investigations of Pfluger (25) which show that large numbers of tadpoles of Rana temporaria are hermaphroditic would seem to indicate that a body somewhat of the nature of the Bidder’s organ in Bufo is not infrequently formed in Rana. I am at present investi- gating the development of the germ-cells in a number of species of American amphibians, and I hope later to record my observations regarding the presence or absence of Bidder’s organ in these forms. Bidder’s organ has been a subject of controversy ever since its discovery in 1758 by Rosel von Rosenhof (27), and a number of different theories have been advanced regarding its nature and probable function. The discoverer of this organ considered it a part of the fat body, while Ratke (28), who examined it in 1825, believed it to be a portion of the testis. Three years later Jacobson (15) came to the conclusion that all toads are hermaphrodites since the body at the anterior end of the testis is a rudimentary ovary. This view was adopted in 1853 by von Wittich (34), after a study of Bidder’s organ in Bufo cinereus, and it has since been advocated by La Valette St. George (29), Nussbaum (23), Bourne (3), Cer- ruti (6) and Ognew. Hoffman (14) believes that Bidder’s organ contains both ova and spermatozoa, and he therefore considers that this body is a “rudimentare Zwitterdrtise.” On the other hand, Bidder (1) maintains that the body at the anterior end of the testis is not a rudimentary ovary but an “Abtheilung des Hoden, und zwar eine auf einer niedrigen Entwickelungsstufe stehen gebliebene, welche die Bildung des Sperma und der Spermatozoen nun vorbereitet.” Leydig (19) No. 2.] DEVELOPMENT OF BIDDER’S ORGAN. 459 and Spengel (31, 32) also consider that Bidder’s organ is an accessory organ and not an ovary. ‘The latter investigator thinks it highly probable that “dies Organ eine Rolle in den Leistungen der Geschlechtsdrtisen, spielt, etwa in irgend einer Beziehung steht zur Bildung des Materials von der die Ent- wickelung neuer Ureier ausgeht, im weiblichen wie 1m mann- lichen Geschlechte.”’ Spengel gives three reasons why he does not believe that Bidder’s organ is a rudimentary ovary: (1) the anatomical differences between Bidder’s organ and the true ovary consist- ing in a lack of a central cavity in Bidder’s organ and the ab- sence of pigment and yolk from the cells themselves; (2) the fact that Bidder’s organ is found in the female as well as in the male; (3) the presence of Bidder’s organ in hermaphro- ditic toads. Later researches have rendered the first of these reasons invalid since Bidder’s organ has been found to con- tain a central cavity. Knappe has found pigment in the cells of Bidder’s organ in Bufo vulgaris, and I have also found it in Bufo lentiginosus. The formation of yolk-nuclei is a com- mon phenomenon in the cells of Bidder’s organ in tadpoles of Bufo lentiginosus, and in one instance (Fig. 26) I have found the cells of Bidder’s organ developing yolk spherules. AlI- though Bidder’s organ was found in the hermaphroditic toad examined by Spengel it is not present in a most interesting specimen of Bufo vulgaris recently described by Cerruti (7). In this individual there is a well developed testis in front of each kidney, and lying between each testis and the fat body is an ovary which appears to be intermediate in structure between a true ovary and Bidder’s organ. In this individual Bidder’s organ has been able to develop further than it normally does and it has thus become a part of the rudimentary ovary. This development would probably not have been possible if Bid- der’s organ were merely an accessory male organ. The evidence brought forward by the investigators who have more recently studied the structure of Bidder’s organ in adult toads has been unanimously in favor of the view that this body is a rudimentary ovary, and the results of my study 460 KING. [Vor. XIX. of the development of this structure point to the same con- clusion. The germ-cells of Bidder’s organ arise from primor- dial germ-cells which are similar in character to the cells which become functional spermatozoa or eggs, and the early development of these cells closely follows that of the ovarian ova up to the synizesis stage. During synizesis the cells of Bidder’s organ appear similar to spermatocytes in which the nuclear contents are in a contracted condition, but at no other period in their development do they resemble in any way stages in the development of the spermatozoa; neither are they similar to any cells of the body except the ova. Even when the cells of Bidder’s organ are degenerating their re- semblance to the ovarian ova is very marked, and the degen- erative processes occurring in them are similar to those taking place in the mature eggs which are not expelled from the ovary. There is, therefore, no probability that Bidder’s organ is a portion of the testis which has been arrested in its develop- ment to serve as an accessory male organ as Bidder, Leydig, and Spengel maintain. If Bidder’s organ is a rudimentary ovary there are three possibilities that may be considered in a discussion of the origin of this body. It is possible, as Haeckel (13) suggests, “dass das alteste und ursprtinglichste Geschlechtsverhaltniss die Zwitterbildung war und dass aus dieser erst secundar (durch Arbeitstheilung) die Geschlechtstrennung hervorging.”’ This primitive hermaphroditic condition has been lost by most of the vertebrates, although it still persists in many of the lower forms. If the amphibians were originally hermaphro- dites then this primitive condition of the sex-glands still ex- ists in the Bufonidae, being indicated by the presence of Bid- der’s organ. On this assumption Bidder’s organ is a degen- erate ovary in the male toad and a degenerate testis in the female. In the female toad the cells of Bidder’s organ have no re- semblance whatever to the sperm-cells and in their structure and development they resemble the ovarian ova as closely as do the cells of the Bidder’s organ in the male; neither is there No. 2.] DEVELOPMENT OF BIDDER’S ORGAN. 461 any tendency to the development of male organs by the fe- male in any of the Bufonidae. These facts are considered by Marshall (21) to furnish sufficient reason to overthrow the view that amphibians were originally hermaphroditic. In spite of the objections that can be brought against it, this theory seems to me to offer the most satisfactory explanation of the presence of Bidder’s organ in Bufo. It is conceded by most, 1f not by all, zoologists that the spermatozoa are more highly differentiated than the ova. It is therefore only natural to suppose that in a degenerate sex-gland, such as Bidder’s organ, the germ-cells would follow in the course of their de- velopment the type of the least specialized germ-cells, the ova, rather than that of the more highly specialized spermatozoa. Such an organ would, therefore, have the same structure in all animals regardless of sex. According to this view it is only necessary to assume that Bidder’s organ has degenerated in the female more than it has in the male in order to have the conditions in this body what we find them at the present time. Since Bidder’s organ usually disappears in the adult female, although it persists throughout the lifetime of the male, there is good reason to believe that this body is more degenerate in the female than in the male. That the Bufonidae, which are among the most highly differentiated of the amphibians, should retain a primitive hermaphroditic condition of the gen- ital organs when such a condition 1s not found at the present time in other classes of amphibians, even among forms which are considered as primitive or degenerate types, is not an ob- stacle in the way of the theory outlined above. A some- what similar condition is found among certain fishes, and many of the higher vertebrates have retained primitive organs which are at present in a degenerate condition and seemingly of no use to the individual. Marshall has suggested that the formation of Bidder’s organ “may be regarded as due to a further extension backward of that tendency to degeneration and atrophy which has caused the conversion of the most anterior part of the germinal ridge into the fat body.” In accounting for the similarity in the 462 KING. [Vor. XIX. appearance and in the development of the cells of Bidder’s organ in the two sexes, Marshall states that the “degenera- tion of the male genital gland may be regarded as taking the form of a reversion to the more primitive ovarian type.” Ac- cording to the investigations of Spengel (35), Semon (30), Goglio-Tos (12), and Bouin (2), the anterior portion of the genital ridge, which develops into the fat body, is composed ‘entirely of small connective tissue cells. Sections of the young tadpoles of Bufo lentiginosus show that the germ-cells are never found anterior to Bidder’s organ in this amphibian. In Bufo the germ-cells are not derived from peritoneal cells but from undifferentiated embryonic tissue. It hardly seems prob- able, therefore, that a mass of cells having a different origin from the germ-cells and totally unlike them in structure ever belonged to the sex-gland proper at any period in the history of the race. In very young tadpoles the cells which are to develop into the fat body form a forward extension of the genital ridge, but this does not necessarily indicate that they were primarily sex-cells. I am strongly inclined to believe that the peritoneal cells which form the fat body have second- arily come into connection with the anterior end of the genital ridge and that Bidder’s organ marks the extreme anterior boundary of the sex-gland. If this be true, then Marshall's theory is untenable since the cells forming the fat body are not germ-cells, and even Marshall himself believes that the cells of Bidder’s organ are degenerate ova. There is a third possibility regarding the origin of Bidder’s organ which may be suggested, although little can be said in its favor. Bidder’s organ may, perhaps, be the remains of a primitive sex-gland which was functional when the Bufonidae were sexually mature in their larval state, as is the condition of the Axolotl at the present time. On this assumption the ovary and testis are structures secondarily acquired when the reproductive activity became manifested at a later period in the life of the individual. The similarity in the appearance of the cells of Bidder’s organ in both sexes and their resemblance to ova can be accounted for on the supposition that, as the No. 2.] DEVELOPMENT OF BIDDER’S ORGAN. 463 organ is degenerate in both sexes, its cells have taken on the character of the least specialized germ-cells, tne ova. The Axolotl is the only known amphibian that reproduces while in a larval condition, and its genital organs are similar to those of other salamanders. Since it is probable that neotenia in this form is a phenomenon of adaptation rather than a primitive condition, there is little ground for a belief that the amphibians as a class were ever sexually mature in a larval state. The function of Bidder’s organ is as yet undetermined. Since this structure is confined chiefly to the Bufonidae it hardly seems as if it could have an important role in the development of the sex-cells, as Spengel claims; neither can it be considered as a storehouse of reserve material that 15 to be used during the hibernation period, since measurements made of this body at different times of the year show that it loses not more than one-half of its volume during the winter months. As a rudimentary ovary Bidder’s organ is appar- ently functionless, although further research, possibly by experimental means, may determine the part played by this body in the life history of the individual. LITERATURE. 1. Brpper, F. H. Vergleichende anatomische und histologische Unter- suchungen tiber die mannlichen Geschlechts- und Harnwerkzeuge der nackten Amphibien. Dorpat, 1846. 2. Bourn, M. Histogenése de la glande génitale femelle chez Rana temporaria. Arch. de Biol., t. XVII, 19or. 3. Bourne, A. G. On Certain Abnormalities in the Common Frog (Rana temporaria). Quart. Journ. Micr. Sci., Vol. XXIV, 1884. 4. Buuter, A. Riickbildung der Eifollikel bei Wirbelthieren IT. Morph. Jahrb., Bd. XXXI, 1902. 5. Cerrut1, A. Contribuzione per lo studio dell’ organo di Bidder nei Bufonidi I. Prosenza di spermii nell’ organo.: Boll. della Soc. di Naturalisti in Napoli, Vol. XVII, 1903. 6. Cerruti, A. Contribuzione per lo studio dell’ organo di Bidder nei Bufonidi II. Di una speciale penetrazione di ovule adiacenti nel Bufo vulgaris, Laur. Atti della Reale Accad. della Sci. Fisiche e matematiche, Vol. XII, 1905. 464 KING. [Vou. XIX. 7. Cerruti, A. Sopra due casi di anomalia dell’ apparato riproduttore nel Bufo vulgaris, Laur. Anat. Anz., Bd. XXX, 1907. 8. Cuitp, C. M. Studies on the Relation Between Amitosis and Mito- sis. Development of the Ovaries and Odgenesis in Moniezia. Biol. Bull., Vol. XII, 1907. 9. Curitp, C. M. Studies on the Relation Between Amitosis and Mito- sis. II. Development of the Testes and Spermatogenesis in Moniezia. Biol. Bull., Vol. XII, 1907. 10. Dusnisson, H. Contribution a l’étude du vitellus. Arch. de Zool. exper. et gen, t. V, 1006. Ir. FrrepMan, Ff. Rudimentare Eier im Hoden von Rana viridis. Arch, mikr. Anat., Bd. LII, 1808. 12. GrcLio-Tos, EF. Sull’ origine dei Corpi Grassi negli Anfibi. Atti R. Accad. Sci. Torino, Vol. XXXI, 1895. 13. HaArckeLt, Ernst. Anthropogene oder Entwickelungsgeschichte des Menschen. Leipzig, 1874. 14. HorrMan, C. K. Zur Entwickelungsgeschichte der Urogenitalorgane bei den Anamisia. Zeit. wiss. Zool., Bd. XLIV, 1886. 15. Jacosson, H. Det kongelige Danske Videnskabernes Selskabs Natur- videnskabelige og Mathematiske Afhandlinger. Tredje Deel., 1828. 16. Kine, H. D. The Spermatogenesis of Bufo lentiginosus. Amer. Joins Anat viol. Villestoo72 Kine, H. D. Bertramia bufonis, a New Sporozoan Parasite of Bufo lentiginosus. Proc. Acad. Nat. Sci., Phila., 1907. 18. Kwnappe, E. Das. Bidder’sche Organ. Morph. Jahrb., Bd. XI, 1886. 19. Leypic, F. Anatomisch-histologische Untersuchungen tiber Fische und Reptilien. 1853. 20. Lerypic, F. Beitrage zur Kenntniss des thierischen Eies im unbe- fruchteten Zustande. Zool. Jahrb., Bd. III, 1888. 21. Marsuati, A. M. On Certain Abnormal Conditions of the Repro- ductive Organs in the Frog. Journ. Anat. and Physiol., Vol. XVIII, 1884. 22. Mutter, J. Bildungsgeschichte der Genitalien. 1830. 23. Nusssaum, M. Zur Differenzirung des Geschlechts im Thierreich. Arch. mikr. Anat., Bd. XVIII, 1880. 24. Ocnew, S. J. Materialen zur Histologie des Bidderschen Organs der Kroten. Arch. mikr. Anat., Bd. LX XI, 1908. 25. Pritcer, E. Ueber die das Geschlecht bestimmenden Ursachen und die Geschlechtsverhaltnisse der Frosche. Arch. fiir die gesammte Phys., Bd. XXIX, 1882. 6. Ratuke, H. Beitrage zur Geschichte der Thierwelt III. Neueste Schriften der Naturforscher Gesellsch. in Danzig, Bd. I, 1825. to No. 30. sik: 33. 34. 2.] DEVELOPMENT OF BIDDER’S ORGAN. 405 ROsEL von Rosenuor, A. J. Historia naturalis ranarum. 1758. Ruce, G. Vorgange am Eifollikel der Wirbelthiere. Morph. Jahrb., Bd. XV, 1880. St. Grorce, La Vaterre. Zwitterbildung beim kleinen Wassermolch (Trioton taeniatus). Arch. mikr. Anat., Bd. XLV, 188s. Semon, R. Studien tiber den Bauplan des Urogenitalsystems der Wirbelthiere darlegt an der Entwickelung dieses Organsystems bei Ichtkyophis glutinosus. Jenais. Zeit. Naturwiss., Bd. XIX, 1802. SPENGEL, J. W. Das Urogenitalsystem der Amphibien. Arbeit a. d. zoolog.-zootom. Inst. in Wiirzburg, Bd. I, 1876. SPENGEL, J. W. Zwitterbildung bei Amphibien. Biol. Centralblatt, Bd. IV, 1884. Wit, L. Ueber die Entstehung des Dotters und der Epithelzellen bei den Amphibien und Insecten. Zool. Anz., Bd. VII, 1884. Wrrticu, Dr. von. Beitrage zur morphologischen und histologischen Entwickelung der Harn- und Geschlechtswerkzeuge der nackten Amphibien. * Zeit. wiss. Zool., Bd. IV, 1853. EXPLANATION OF PLATES. All figures were drawn with the aid of a camera lucida. They have been reduced one-third. Fic. 1.—Outline drawing of the genital organs of a toad killed at the time of metamorphosis. C. A., corpus adiposum; B. O., Bidder’s organ; O., ovary; R., kidneys. Fic. 2—Section of Bidder’s organ taken from a tadpole 17 days old. X_ 1,000. Fic. 3.—Section of Bidder’s organ taken from a tadpole 35 days old. <_ 1,000. Fic. 4.—Resting stage of a primordial germ-cell in Bidder’s organ. V., vitelline bodies. XX 1,334. Fic. 5.—Young oocyte in Bidder’s organ. X 1,334. Fic. 6.—Growth stage of a young oocyte. X1I,334. Fic. 7—Beginning of the condensation of the chromatin spireme lead- ing to synizesis. X 1,334. Fic. 8—Synizesis stage. X 1,334. Fics. 9-10.—Early post-synizesis stages. The chromatin is in the form of a continuous spireme. XX 1,334. Fics. 11-14.—Post-synizesis stages showing the division of the spireme into segments. XX 1,334. Fic. 15—The beginning of amitotic division in the nucleus of a cell in Bidder’s organ. X 1,334. Fics. 16, 17.—Later stages in the amitotic division of a cell. X 1,000. Fic. 18.—Section of an odcyte which has begun to degenerate. A fluid space has formed around the large nucleolus and the yolk material is col- lected in several masses, one of which lies against the nucleus. XX _ 1,000. Fic. 19.—Section of an egg in Bidder’s organ taken from a toad killed at the time of metamorphosis.. Yolk-nuclei are forming in the cytoplasm. >< 4.000! Fic. 20.—Section of the nucleus of a cell in Bidder’s organ which 1s very similar to nuclei of the same size found in the ovarian odcytes. X 1,000. Fics. 21-25.—Stages in the resolution of compound-nucleoli in the cells of Bidder’s organ. X 1,334. DEVELOPMENT OF BIDDER’S ORGAN HELEN DEAN KING — 7 Jou SURNAL OF MORPHOLOGY--VOL, xix NO hep ~ Fic. 26.—Section of an odcyte in Bidder’s organ in which yolk spher- ules were formed. Taken from a young male toad with a body length of 21cm 000: Fic. 27.—Section of a degenerating egg in Bidder’s organ. Taken from a young male toad with a body length of 4.5 cm. 1,000. Fic. 28.—Part of a section showing the penetration of a capillary into a degenerating egg. Taken from an adult male toad killed in July. > 1,000. Fic. 29.—Section of a degenerating egg taken from a young male toad with a body length of 5 cm. ™ 1,000. Fic. 30.—Part of a section of a degenerating egg into which blood capillaries (B. C.) and follicle cells have entered. Taken from a Vane male toad with a body length of 5 cm. 1,000. Fic. 31.—Outline drawing of a section of a multinucleated egg in Bidder’s organ. Fic. 32.—Section of a degeneration egg containing numerous follicle cells. Taken from a young female with a body length of 5 cm. X 1,000. DEVELOPMENT OF BIDDER'S ORGAN HELEN DEAN KING RNAL OF MORPHOLOGY--VOL. XIx NO JOU Rit DEVELOPMENT OF THE ADHESIVE, ORGAN AND HEAD MESOBLAST OF AMIA= JAcoB REIGHARD AND JESSIE PHELPs. In 1895? it was noticed by one of us that, at a certain stage in its development, the adhesive organ of Amia con- sists of a pair of diverticula whose walls and lumina are continuous with the corresponding parts of the foregut. Two years later we undertook a study of the development of this organ in order to determine whether it originates from the entoblast, as indicated by this observation, or from the ecto- blast, as claimed by previous investigators of Amia, Aci- *From the Zoological Laboratory of the University of Michigan, Ann Achor, Mich. U.S: A. No. 116. *In 1895 I noticed the connection referred to in this paragraph between the adhesive organ of Amia and the corresponding parts of the foregut. Two years later Miss Phelps undertook, under my direction, to trace the complete history of this organ. When Miss Phelps’ work had been completed two brief preliminary notes were published (Phelps, 1899, 1900), but it seemed best, before final publication, to add the history of the head mesoblast in so far as this is related to the adhesive organ. For this part of the paper, as well as for the theoretical matter (see Reighard, 1902), I am responsible. The publication of the paper has been from time to time postponed in the hope that it might follow the “Normentafel of Amia” the preparation of which had been begun. The Normentafel has been greatly delayed by my inability to use my eyes for microscopic work, and I do not now know when it may be completed. The recent appear- ance of a paper on “The Adhesive Organ of Amia” by Eycleshymer and Wilson (1908) makes desirable the immediate publication of the present more detailed study. It is printed as it was completed in July, 1900, with no attempt to consider literature which may have appeared since that time. The only additional matter in the body of the paper is that in the foot notes, and concerns the publication of Eycleshymer and Wilson above referred to, whose results are in several respects at variance with our own. Some titles have been added to the literature list—J. R. (469) 470 REIGHARD—PHELPS. [Vou. XIX. penser, and Lepidosteus. This study has necessarily involved some consideration of the head mesoblast. We shall distinguish two phases in the history of the ad- hesive organ: first a progressive phase which extends from the origin of the organ to a stage of the larva shortly after hatching, at which time the organ becomes functional, and second a retrogressive phase which extends from the close of the functional period to the time of the entire disappear- ance of the organ. In considering each of these phases we shall have occasion to refer to certain stages in the develop- ment of the embryo and larva, but shall describe these stages only in sufficient detail to render possible their subsequent identification. THE PROGRESSIVE PHASE. The first stage.* a. The Adhesive Organ. The first ex- ternal indication of the adhesive organ is found in embryos which still lie flat on the yolk (Plate, Fig. 1), with neither head nor tail protuberant. The brain at this stage shows externally two divisions. only. The limits of the hindbrain are not distinguishable, but near its anterior end it appears *This early stage of the adhesive organ has been found in surface views, only in embryos preserved after removal of the egg membranes or by a method which does not cause shrinkage of the membranes. If the eggs are preserved without such precaution shrinkage of the membranes brings them into contact with the surface of the embryo, obliterates many exter- nal features, changes topographic relations, and deforms certain internal structures. The sections figured by Eycleshymer and Wilson (1908, early stages) show the membranes still in situ and shrunk against the embryo. The use of such material probably accounts for their statement that the adhesive organ appears as a pait of diverticula. Shrinkage of the mem- branes obliterates the delicate “crescent” which is unpaired and includes the adhesive organ. This should appear in Fig. 13, Pl. I, of Eycleshymer and Wilson, 1906. They say that in embryos of ninety hours “the adhesive organs are not observable in surface views” (1908, p. 135), and they figure this stage without adhesive organ in Pl. I, Fig. 15, of their paper of 1908. On the contrary, we find the organ well developed and paired in surface views in a somewhat younger stage (cf. our plate, Fig. 2). Shrinkage of the membranes obliterates these delicate surface features in early stages, and gives rise to the impression that they appear only in later stages. No. 2.] THE ADHESIVE ORGAN OF AMIA. 471 to be much broader. Opposite this broader part the audit- ory pit is found in sections. The broadening itself is due in part to the proliferation of cells from the ganglionic ridge. The future anterior end of the hindbrain lies just anterior to this broader portion. The pointed tip of the forebrain extends beyond the optic vesicles which lie close on either ‘side of it and form the most conspicuous part of the head. On each side, behind the optic vesicles and at the side of the brain is an elevated, oval area, the branchial area, within which ~ div. arch. ZROres Hon LOB Beis ch Seat ‘ Ol LL ap — S srt oF 26) S Soro Ce OB089 oI Oo RSs Oo aS oO rej oYers: Fic. A.—Part of a parasagittal section of an embryo along the curved line a-b of the stage shown in Fig. 1. Camera outline drawing; details from a photograph. div. arch., diverticulum of the archenteron (cres- cent) ; ent., entoblast; i. ect., internal layer of ectoblast; o. ect., outer layer of ectoblast; op. v., optic vesicle; ylk., yolk. The section passes to one side of the median plane and does not include the hypophysis. gill slits appear in a later stage. The axial mesoblast shows in sections at least twelve trunk somites. In front of the optic vesicles and lying against them and the anterior end of the brain is a crescent-shaped, elevated area which 1s shown by its subsequent history to include the fundament of the adhesive organ. It will be referred to hereafter as the cres- cent (anterior end of the foregut). In a longitudinal section (Fig. A), the archenteron is seen to be enlarged slightly at its anterior extremity to form a broad, dorsally directed diverticulum which causes the cres- 472 REIGHARD—PHELPS. [Vou. XIX. cent-shaped elevated area seen externally. The dorsal wall of this diverticulum is made up of a single layer of columnar entoderm cells, which are in contact with the nervous layer of the ectoderm. Ventrally the cavity of the diverticulum is bounded by the yolk from the surface of which a few cells have been segregated. The cavity as seen in longitudinal section is crescent shaped. b. The Mesoblast—In the trunk region, and as far for- ward as the midbrain region, the archenteric cavity is well developed and extends across the middle line. In the an- terior head region, however, the increased depth of the brain causes the dorsal wall of the archenteron to be in contact with the yolk in the middle line, and thus obliterates the median portion of its lumen. The lateral portions of the archenteric cavity in the anterior head region are, on the other hand, well developed and connect the archenteric cavity of the trunk with the cavity of the crescent which is thus shown to be a part of the archenteron. In an embryo a few hours younger than the one figured the crescent is not readily visible externally,* but may be easily found in sections. The columnar entoblast forming its dorsal wall is found to be much thickened and many layered at its anterior and lateral edges and to become there contin- uous with the yolk. The crescent is thus terminated in front and laterally by a germinal wall, much better developed later- ally than in front. Posteriorly the crescent entoblast is con- tinuous with the entoblast forming the dorsal wall of the archenteron in the head region. This entoblast of the head region is very thin in the middle line beneath the brain where it is in contact with the yolk. On either side of the middle line, however, it is many layered and very thick and is con- tinuous laterally by means of a germinal wall with the yolk. Thus in the head region in front of the hindbrain there is as yet no mesoblast, but only the much thickened layer of ento- blast continuous in front with the columnar entoblast of the crescent. About the borders of this entoblast sheet and *Such a stage is figured by Beckwith, 1907, Plate I, Fig. 1. No: 2:] THE ADHESIVE ORGAN OF AMIA. 473 about the lateral and anterior border of the crescent ento- blast there is a continuous germinal wall by which the ento- blast passes into the yolk. In an embryo of the stage represented in Fig. 1 this ento- blast of the anterior head region has separated into two layers. Of these the dorsal and thicker layer is composed of loosely aggregated mesoblast cells, while the ventral layer is a colum- nar entoblast, which forms the dorsal wall of the archenteron. The mesoblast begins at a point just in front of the optic vesicle, as a thick sheet of cells still connected with the ento- blast near the median line, but free laterally. As the sheet is traced backward it becomes broader. It retains its con- nection with the entoblast near the median line and extends thence laterally to the limit of the archentron, where it be- comes continuous with the germinal wall. It is without a cavity. The mesoblast of the anterior head region is thus clearly formed by delamination from the entoblast. No meso- blast is formed from the colwmnar entoblast of the crescent. The second stage: a. The Adhesive Organ. The next stage of the adhesive organ to be described is found in embryos which show the following external features: The embryo (Plate, Fig. 2) is still flat on the yolk; the midbrain is now visible externally in addition to the forebrain and_ hind- brain; the tip of the forebrain extends beyond the optic vesicles for a short distance as in the preceding stage; the recessus laterales are distinguishable in the hindbrain, so that the cavity of the hindbrain may be described as triangular in outline, the anterior lateral angles of the triangle forming the cavities of the recessus laterales. Two oblique lines are seen on each side within the branchial area. These are gill slits. The first is the pre-hyoidean or spiracular slit, which subsequently disappears. The arch behind it is the hyoid arch. At its dorsal end the auditory vesicle is visible. The crescent of the preceding stage has given place to three hemispherical protuberances which are nearly as promi- nent a feature of the head as the optic vesicles in front of which they lie. The two lateral of these protuberances 474 REIGHARD—PHELPS. [Vor. XIX. form the fundaments of the adhesive organ. ‘The central and smallest of them lies in the middle line between the other two and directly in front of the forebrain. It will be spoken of as the button. Bounded outside by a curved white line, and inside by the branchial area, are seen the halves of the body cavity extending backward over the yolk about the sides of the head. Between the three protuberances and the white line the stomodaeum appears as a long crescent-shaped depression. pe. dix. Fic. B.—Portion of a parasagittal section of an embryo of the stage shown in Plate, Fig. 2. The section passes to one side of the median plane through the optic vesicle and one-half of the adhesive organ. Camera outline; details from photograph. X about 150. f. g., foregut; h., heart; i. ect., inner layer of ectoblast; 0. ect; outer layer of ectoblast; op. v., optic vesicle; pc. c., pericardial cavity; pd. div., one of the paired diverticula of the foregut (fundament of the ad- hesive organ); st., stomodaeum; ylk., yolk. Sections of embryos of this stage (Fig. B) show that the entoderm in front of the crescent has been folded backward so as to form a small part of the ventral and side walls of the foregut at its anterior end. Ventral and anterior to the lower foregut wall thus formed and filling the entoderm fold, is the large pericardial cavity within which is seen the heart. Ventral to the pericardial cavity lies a portion of the yolk No. 2.] THE ADHESIVE ORGAN OF AMIA. 475 sac which separates the entoblast beneath the pericardial cavity from the yolk. The broad, flat, anterior end of the foregut extends forward to the stomodaeum where its greatly thickened anterior wall is-in contact with the ectoblast. From the dorsal wall of the short foregut rise three diver- ticula. The central one (Fig. C, med. div.) is thick-walled, with a very shallow cavity and forms the button. The lateral f, br. Oke) Blog| Da gee Ras _ r 5 ‘ Thy, nance ees eer oe abe f Jog Fic. 14.—Cross-section of anterior cesophagus to show the difference in the development of the chitin and hairs. se., secreting epithelium; ch., chitinous layer; p., projecting hairs. Fic. 15.—Longitudinal section of cesophageal invagination. ch., chitin; e., epithelial layer; m., muscle layer; s., sphincter muscle; ov., ceso- phageal valve; me., mesoderm. Fic. 16.—Longitudinal section of cesophagus and small cecum. e., epi- thelium of stomach; as., active secreting epithelium; mw., muscle wall. Fic. 17.—Cross-section of large ventricular cecum. mw., muscle wall; se., secreting epithelium; sg., secreted globule. Fic. 18—Cross-section of small ventricular cecum. mw., muscle wall; se., secreting epithelium; s., secretion thrown off. Fic. 19.—Wall of ventricular caecum to show active secretion. Fic. 20.—Central cross-section. h., heart; ls., large ventricular cecum; ss., small ventricular cecum; a., alimentary canal; f., fat bodies. LARVA OF CTENOPHORA ANGUSTIPENNIS ANTHON SOESTER I. JOURNAL OF MORPHOLOGY--VOL. XIX, NO. 2 neat . EJ] y i fe pias (SAGE aay r . . a ear, oy a Fic. 21.—Posterior cross-section. h., heart; c., gastric cecum; m., Mal- pighian tubule; t., trachea; f., fat bodies; d., intestinal diverticulum. Fic. 22—Longitudinal section of Malpighian tubule, to show the similarity of cell elements. Fic. 23.—Cross-section of wall of diverticulum. m., muscle wall; c., cell layer. Fic. 24.—Cross-section of cell of diverticulum. LARVA OF CTENOPHORA ANGUSTIPENNIS ANTHON SOESTER I. Fig. 22 Fig. 24 NAL OF MORPHOLOGY--VOL. XIX, NO. 2 Fic. 25.—Muscle plexus of the diverticulum. LARVA OF CTENOPHORA ANGUSTIPENNIS SOESTER |. ANTHON Fig. 25 ae rae a ade hy ri “ ‘7 - ” _ i * ; \ - ae ik ae) j oF oe — “>, ‘ ————— - r * ¢ . . - 1 r 4 . ’ ar tall i _— ’ é 4 : 4 f , E ( afssiyt site ¢ f oo - > a 4 7s ) Ba ; wi = . ae \ a pee set é a ieee a “e sinh Pe ch Le a wv Be i REL Dh akae hee, 53 re * a = “a, ® +. oi Fic. 26.—Muscle coat of diverticulum, H. P. Fic. 27.—Same, L. P. Fic. 28.—Muscle network from diverticulum. Fic. 29.—Cell element from diverticulum. Fic. 30.—Surface view of cell membrane of diverticulum. Fic. 31.—Cross-section of colon. mw., muscle wall; se., epithelium; ch., chitinous wall. ’ Fic. 32.—Cross-section of rectum. Same as in Fig. 29. Vv a LARVA OF CTENOPHORA ANGUSTIPENNIS SOESTER |. ANTHON So BCOutveinenancrcs AVIFSIU EUR barM ITE S = A AS? aa &, eae it de LET Sry TEEN Wee ie: B SPIE ET SS B iparseauasac ea a 5 ae \\ Fig. 30 4 ie y Rid caer “tq "te AT ibe) “tee cece ig ak RES y Pe Pon BOREAS, Mii rtipa, p. 380) and is a surface indi- cation of a plate-like structure. The thickness of the plates in micra according to the measurements of Schultze (’67) and Zenker (’67) is as follows: frog .5;—.6, triton .55—.6, 564 HOWARD. [VoL. XIX. salamander .6, dove .62, guinea pig .88, man .45—.0 (Greef :00). The thickness is constant for a given species and shows little variation even in the whole vertebrate series. Between the plates is a cementing substance, which becomes greenish instead of black in osmic acid. This cement is affected rapidly by certain reagents, and owing to its swelling it causes a char- acteristic disintegration of the outer segment into discs. This disintegration occurs earlier at the distal end of the segment than at the proximal, the difference being due to a protecting sheath over the latter. The presence of an axial fibre in the outer limb, as main- tained by Ritter (’59) and later called “Ritter’s fibre,” was questioned. Manz (’61; ’66) and Hensen (’67), however, sided with Ritter; but Max Schultze concluded from Zenker’s study of the refractive indices of these parts, that the appear- ance was due to a difference in refrangibility between the sheath and the substance of the rod. It was probably this opinion of Schultze which was responsible for the general discredit which “Ritter’s fibre” eventually met with. Inner Segment.—The inner segments of the rods in amphi- bians are usually short but as wide as the outer ones. In perfectly fresh condition the substance of the inner segment is homogeneous. Very soon after a preparation is made, how- ever, a cloudiness appears, which seems to be due to coagulation granules. In the toad and frog there is observable near the edge of the outer segment a characteristic body in the form of a plano-parabolic lens. This body, which in fishes, other amphibians, and birds is much broader, was given the name “lens-shaped body” by M. Shultze, and later was called “ellip- soid” by Krause, and “outer-lens” by H. Virchow. The ellip- soid turns brown with osmic acid. It is more strongly differ- entiated by further treatment with fuchsin. With this stain the outer limb, as well as the ellipsoid, becomes a dark red while the remainder of the inner limb is light red. A more complicated condition is found in some forms (Triton, Sala- mandra), in which there are present two lens-like bodies having No. 3.] VISUAL CELLS IN VERTEBRATES. 565 the relation of the lenses in a compound achromatic objective, a proximal bi-convex body fitting into a distal plano-concave one. In osmic acid the plano-concave body is colored brown like the ellipsoid in other forms, and it also becomes dark red with fuchsin. On the other hand, the bi-convex body stains like the remainder of the inner segment. This body was called the “paraboloid” by Krause. In the fresh condition the plano-concave part, or ellipsoid, is finely granular, while the paraboloid is completely homogeneous. According to Max Schultze the paraboloid may be isolated. The channeling of the outer surface of the inner segment, as reported by Merkel (’70), was not credited, and another question in dispute was the presence or absence of a membrane enveloping the segment. Landolt (71) and Merkel reported its presence, while Max Schultze claimed that there Was no distinct membrane, but that fibrous projections from Miiller’s fibres extended over the inner segment and the proximal third of the other segment. Schultze was at one time disposed to consider these as nerve fibrils, but was led finally to the view last given. He says (’72b, p. 823): “Although the fine fibres are with difficulty traced backwards into the external granule © layer, I have ascertained this much with certainty, namely, that they are continuous with the tissue lying between the fibres of the rods and cones. But since this tissue can only be considered as connective substance, the fibrils in question rep- resent a continuation of the delicate fibrillated connective sub- stance of the external granule layer, and form supporting fibrillar framework for the bases of the rods and cones (Comp. nies 26) 4 The Cones have parts corresponding to those in the rods, and these parts in general show similar reactions both to chemical reagents and to light. In amphibians the difference between the other segments of the rods and cones in these respects is less marked. The conical outer segments possess channeling of the outer surface, as in the rods, but with grooves nearer together. The outer segments of the cone are 5606 HOWARD. [VoL. XIX. exceedingly unstable and show the same plate-like structure as the rods, but owing “to a sheath the disintegration is not as rapid. This fibrillar sheath in the cones, as in the rods, is easily demonstrated to be a prolongation from the inner segment. This inner segment shows the same complexity as that of the rods, possessing a distal ellipsoid (linsenformigen Korper) and a proximal paraboloid (“blassere innere Halfte’). In the frog and also in Sauropsida generally, there is present between the outer segment and the ellipsoid a highly refractive, colored, spherical body called the oil globule (“pigment Kugel’). Max Schultze (722, p. 1003) found internal longitudinal fibres, in addition to peripheral fibrils, occupying the whole thickness of the inner segment of the cone in man. He was able to follow these from the beginning of the outer segment to a point short of the external membrane. Their further connections he was unable to make out. Nuclet.—While in fishes and mammals the nuclei of the rods differ from those of the cones, in amphibians conspicuous differences are not apparent. The nuclei are arranged in two layers in both Rana and Bufo, but in a single layer in Triton and Salamandra. In frogs and toads the nuclei of the rods are commonly close to the external limiting membrane, while those of the cone cells are crowded into the second layer. Hoffmann (’75) described a thin granular cytoplasmic sheath about the nuclei and says there is a proximal extension (cone- foot) of the sheath into the outer granular layer. This exten- sion possesses, according to somewhat inconstant appearances, a terminal spherule having a rough or ragged surface. Double Cones, first described by Hanover (’40), are found in all vertebrates except mammals. They consist of two cones applied along a part of their lateral surfaces. In Amphibia as well as in Sauropsida there is a conspicuous difference between the cones of a pair. One of these is longer and egg- shaped, it is called by German authors the ‘“Haupt-zapfen:” the other is shorter and retort-shaped, it is known as the “Neb- en-zapfen.” In triton the Haupt-zapfen possess ellipsoids only, No. 3.] VISUAL CELLS TIN VERTEBRATES. 567 the Neben-zapfen both ellipsoids and paraboloids. Hoffmann (*75) expressed doubt as to whether the double cones possess one or two nuclei, but inclines to the latter view. Schultze seemed to favor the former. He states (Schafer ’97, p. 49) that twin-cones possess two feet, one straight, the other oblique. The investigators whose results are summarized in the fore- going account carried the analysis of the structure of rods and cones so far that for twenty-five years almost no noteworthy advance was recorded. Many of the structural features dis- covered by them seemed hardly to accord with the conception of the rods and cones as modified nerve fibres. The plate structure of the outer segments was generally considered as strong evidence against this view. M. Schultze (’71, p. 257), however, seemed disinclined to give up the older notion. He says: “Es ist das Wahrscheinlichste, dass Nervensubstanz auch mit den Aussengliedern in Contact oder Continuitat stehe.”’ However, he admits (’72°, p. 1006) the possibility of a non-nervous function for the outer segment: ‘“‘Somit konnte moglicher Weise die Nervensubstanz mit den Innenglie- dern abschliessen und das Aussenglied einen nicht nervosen physikalischen Hulfsapparat darstellen.”” He considered it probable that the outer segment, through its laminz, serves as a reflecting apparatus and that the transformation of the lumin- ous rays into nerve impulses is effected in this region. These views were strengthened by his studies on invertebrates, where the laminated visual rods in mollusks and arthropods were con- sidered to be analogous to those in vertebrates. Many writers on invertebrates, especially on arthropods, e. g., Hensen (’65) and Watase (’go), believed that the visual cells were largely cuticular in structure. Thus Schultze’s comparison apparently led other students to the assumption that the outer segment of the vertebrate visual cell was in the nature of an “Abscheidungsproduct”’ or cuticular substance, and this view was held to be supported by embryological evidence. Although Schultze seems to have given expression 568 HOWARD. [Vov. XIX. to no such view, his results were so interpreted by others, e. g., Schwalbe. This idea of the cuticular nature of the outer segments has met with general acceptance and has remained as authoritative almost up to the present day. Thus one finds frequently in text-books, where the outer segment alone is referred to, such expressions as: “entspricht einer Cuticular- bildung” (Schwalbe, ’87, p. 104), and “der Ausdruck einer kutikularen Auflagerung” (Rauber, :03, p. 810). Or the entire rod, or cone, is called a “Cuticularenbildung” (Wieder- sheim, ’86), an ‘“Abscheideproduct” (Gegenbaur, ’98, p. 935). From time to time there have appeared in the literature on the retina results quite out of the ordinary, whose non- acceptance may be attributed to lack of confirmation by others, or to obvious insufficiency of evidence. The position, for instance, taken by Borysiekiewicz (’87), that rods and cones are non-nervous, seems to have received little support. Norris and Wallach (’94) describe “Distal connecting loops between visual cells.” The photographs which they publish, to illus- trate this condition, are certainly not convincing. Johnson (95) finds a “branching central fibre” in the visual cell. Pes (:00) maintains that the ellipsoid acts as a nucleus. Bernard ( : 00-03) considers the visual cells to be vesicular projections from a syncytial retina. The slow advance in the study of the retina since Schultze’s time would seem at first sight rather strange in the light of recent progress in cytological technique. It might be partially accounted for, however, by the fact, that, owing to the extreme delicacy and instability of the rods and cones, many recently devised neurological methods are inapplicable. In noticeable contrast with the condition of the problem in vertebrates has been the progress in the study of the ter- minal visual organs of invertebrates. In the arthropods, for instance, the rhabdomes, which were supposed by earlier writers (Hensen, ’65; Grenacher, "79; Watase, ‘90) to have been formed by secretions, have been found by later workers to be living tissue of marvellous complexity. Schultze (’724), who No. 3.] VISUAL. CELLS IN GERTEBRATES. 5690 found a fibrous structure in the molluscan visual cell, surmised a like structure in arthropods. Later, fibres were actually observed by Patten (’86) and others, and it was demonstrated by Parker (’95) that in the rhabdomes of the crayfish the fibrils composing them are neurofibrils and that the substance of the rhabdome is more correctly described as differentiated living material, comparable to the contractile substance of a muscle fibre, than as a secretion. This view, that the rhabdome is composed of neurofibrils, has been greatly extended for the invertebrates by the recent work of Hesse C2008 5,01): In the light of these discoveries in the lower animals it is not surprising that the attention of investigators should be drawn again to the more difficult problem of the finer structure of the rods and cones in vertebrates. That an interest exists, may be readily seen by reference to the literature of the last five years in comparison with that of the twenty years previous. Another incentive to research in this direction is to be found, no doubt, in the interest aroused by the discoveries of Apathy (97) as to the minute structure of the nervous system. The further exploration of the nervous elements through the researches of Bethe (’98), Prentiss (: 03), Schneider. (:.02), Parker (’95), Nissl (: 01), Embden (: 01) and others brings up, as a pertinent problem, the determination of neurofibrils in terminal sense-cells. Moreover, where these are found, is raised the question of their relation to other intra- and inter- cellular fibrils. Schneider (:02) is, so far as I know, the first author since the appearance of Apathy’s paper to claim an identification of neurofibrils in the rods and cones of vertebrates. He used the frog in his studies; concerning the longitudinal markings, about which there has been so much controversy, he says (p. 789) : “Das Sarc der Sehzellen ist zart langsfadig struiert; wir haben die leicht geschlangelt verlaufenden Faden als Neurofibrillen aufzufassen.” These neurofibrils he considers as continuous from the cell foot in the outer reticular layer 570 HOWARD. [Vou. XIX. to the distal end of the outer segment, which is turned towards the pigment cells. In the red rods, the fibres are described as peripheral, starting from the rod foot and extending over the nucleus in the thin mantel sheath. Between the nucleus and external limiting membrane, they form a loose fibril group, but on reaching the membrane they become entirely peripheral, lying in the sheath of the inner and outer segments for the rest of their course. A granular cone proximal to the ellipsoid may be a new feature for the inner limb, but is probably identifiable with the paraboloid. The outer segment is stated to contain internally a homogeneous elastic mass, breaking easily into cross plates, but again, an appearance of cross striping is explained as due to a regular interruption of a “color mantel” on the peripheral neurofibrils. The club-shaped rods differ from the red rod in that the neurofibrils traverse the whole substance of their outer segments. As to the cone cells, Schneider says of the neurofibrils in their outer segments : “Diese Neurofibrillen durften sich im Aussenglied in Windun- gen legen.” Otherwise the condition of the fibrille is the same as in the rods. Greef (:00), who depended chiefly upon osmic acid as a fixing agent, finds no fibrils. He describes, however, some details of interest in the structure of the rod, e. g., the “Zwischenscheibe,”’ a plate between the outer and inner seg- ment; also the occasional appearance of two “Zwischen- scheiben” between plates of the outer segment, and a sheath over the inner and outer segments. Levi (:00) holds much the same views as Greef as to the structure of the visual cells. Hesse (:03), in a paper read before the Deutsche Zoolog- ische Gesellschaft, reports the presence of spiral neurofibrils, and in a later paper he (:04) gives his results on teleosts, selachians, amphibians, and reptiles more fully. Hesse declares for two systems of fibrils, both of which he finds present in rod and cone cells. The first, which appear in general as parallel longitudinal lines, he believes to be thicken- ings of the sheath, confined to the periphery, where they have No. 3.] VISUAL CELLS INV VERTEBRALIES. 571 a mechanical function. He does not trace them proximally beyond the external limiting membrane. The second is a system of parallel spiral fibres running from one end of the element to the other (including the nucleus) and always lying near the external surface. These he believes to be neurofibrils, the conducting elements of these optic organs. The spiral fibres described by Ritter (’912; ’91b) and Krause (’92) he mentions as possible records of the same feature. That these received so little credence (see criticism of Merkel, ’92; Greef, :00; Ebner, : 02) he thinks is due largely to the unconvincing appearance of the figures. Very recently there have appeared publications from Kolmer _ (:04), Held (: 04), and Retzius (: 05), describing an appear- ance in the visual cells, not to my knowledge reported before, namely, a single relatively large peripheral fibre passing from diplosomes in the inner segment and over the whole length of the outer segment. The demonstration of this fibre was obtained by the use of silver-impregnation methods. Like results have been reported by Furst (:04) using hematoxylin staining on embryonic tissue. The investigations upon which the present paper, is based were carried on chiefly in the Zoological laboratories of Har- vard University at Cambridge, during the years 1902 to 1905. A part of the work was done in the laboratories of the United States Fish Commission at Woods Holl, during the summers of 1902 and 1903. Before taking up this special problem I made studies under the direction of Professor William A. Locy, upon the devel- opment of the Vertebrate retina. In the fall of 1902, at the suggestion of Dr. G. H. Parker, I took up as a special prob- lem the more limited field of the structure of the visual cells in the adult. In this work I have received very considerable assistance from several persons, for this I owe especial acknowledgment. Dr. Parker has given the work his constant supervision and 572 HOWARD. [Vor. XIX. rendered me every encouragement by helpful suggestions and valuable criticism. I am indebted to Dr. E. L. Mark for the excellent oppor- tunities of the Harvard Zoological laboratories and for help in the arrangement of plates, as well as kindly interest at all times. Thanks are due Professors J. E. Wolff and Charles Palache for apparatus and assistance in the use of the same; also to Doctors F. B. Mallory and F. H. Verhoeff for suggestions in technique. In addition to these, there are many to whom I am under obligation for kindly assistance. To these I wish here to express my thanks. ii -OBSERVATIONS: A. GENERAL METHODS AND TECHNIQUE. I began my study of the visual cells in the frog, Rana pipiens Shreber, because of the ease with which this animal can be obtained at all seasons, and because of the large size of its elements. The importance of the latter consideration is obvious and led me finally to study the retine of the large salamander, Necturus maculosus Rafinesque (1819), the “Mud-puppy” of the St. Lawrence and Mississippi basins. The rods in this species proved to have a diameter two and a half times that of the rods:in the frog, and larger than those of any other vertebrate known to me. This is in keep- ing with the well known fact that in Necturus, the histologi- cal elements are unusually large, the red blood corpuscle being the largest red corpuscle known. As this animal is com- monly kept by dealers for supply to zodlogical laboratories, it can be obtained readily before ice appears and kept alive in laboratory tanks with running or standing water, of a depth just sufficient to cover it. The size of the visual ele- ments in Necturus led me to use them in preference to those of the frog as a basis for my studies. No. 3.] VISUAL~ CELLS SIN VERTEBRATES: 573 The advantage of size outweighed the two disadvantages of a small eye and a thick sclera. The small size of the eye renders manipulation difficult in the removal of the retina, and limits the amount of available eye fluids for study of the retina in the fresh condition, while the thickness of the sclera hinders the penetration of fixing fluids. Two general methods of study were followed; permanent preparations were made according to the various devices of microscopical technique; and fresh material was studied while in the eye fluids, under as nearly normal conditions as possible. In the technique of the rods and cones certain peculiarities of the tissue have to be taken into account. As they are such unstable and comparatively delicate bodies, special fixing fluids must be used. The finding of a suitable fluid was a matter of considerable experimentation, in which the mere preservation of a natural gross form of the bodies was the least perplexing part of the problem. It was more difficult to find a fluid which would permit staining, and still do little damage to the internal structure of the element. The tests for these requisites were dependent, in the main, on results obtained after differential staining, though tests with polarized light were also employed as a check on fixation. The latter furnished interesting data, which will be taken up in detail under observations upon the effects of different fixing fluids. The difficulty of admitting fixing fluids to the retina with- out violent mechanical disturbance, is a problem which pre- sents itself in the technique of small eyes, especially when they possess a heavy sclera. Immersion of the whole eye in the fluid does not guarantee immediate fixation, while cutting open the eye usually causes a wrinkling of the retina, even if no mechanical injury results. Wrinkling, and buck- ling of the retina away from the choroid, seems to be due to different degrees of contraction of the sclera and the retina, when treated with the fluids. I found the following method most successful in preventing such effects, and in preserving the eye in an apparently natural 574 HOWARD. [Vora xi condition. The animals were anesthetized, their hearts exposed, and the fixing fluid injected into the arteries as in ordinary injections for the demonstration of the arterial system. Some of the fluids used were aqueous mercuric chloride containing 5 per cent. acetic acid, Perenyi’s fluid, 11% per cent. osmic acid and vom Rath’s (’95)_ picro-platino-osmo-acetic mixture. The first two penetrated most successfully. The osmic preparations were only partially successful, for, owing apparently to the rapid constriction of the blood vessels, a smaller amount of the fluid reached the interior of the eye than by the other. methods. iter injection, the eyes were removed and placed in the fixing fluid, or else the whole head was immersed and the eye not opened until they were thor- oughly hardened. Eyes thus prepared were imbedded in melted paraffine and cut for longitudinal or transverse sections of the rods and cones. For a satisfactory study of the rods and cones it is usually necessary to free them from surrounding pigment. This may be done by bleaching on the slide, or, while the animal is alive, by keeping it in a dark box for a few hours, or con- veniently over night, and then fixing the eye without exposure to the light, I got best results in Necturus by aneesthetizing with chloretone in the dark box. Chloretone was used to avoid the irritation and consequent advance of pigment which ether and chloroform seem to produce. The method described causes the retinal pigment to withdraw completely from the region between the rods, into the bodies of the retinal pigment cells. : Bleaching can be resorted to conveniently, if there is no reason for avoiding the necessary chemical treatment. This is obviously the most practical method of studying the rods and cones in their “light” phase. It also has the advantage that the rods and cones are protected, and prevented from breaking by the slipping of the retina over the pigment layer, when portions of the eye are removed for sectioning. Bleach- No. 3.] VISUAL CELLS IN. VERTEBRATES. 575 ing was done on the slide by the potassium chlorate method (Lee, :05), or by the potassium permanganate and oxalic acid process (Mallory :05). In the study of fresh material the cornea and lens were carefully removed, the eye divided, and the retina placed on a slide. In this process as much of the eye fluid as possible was removed with the retina, which was then teased in it and covered. The fluid at the edge of the coverglass coagulates and promptly checks further drying from exposure to air. With such a preparation, a field containing detached rods can readily be found. These are usually broken, but occa- sionally a whole element was found intact, as for instance where a fortunate fold of the retina gives the visual cells in profile. When more fluid than could be obtained from a single eye of Necturus was needed, humor from the eye of a frog or an artificial examination medium was used. In tests for suitable media the most satisfactory that was found was the more fluid portion of white of a hen’s egg. In the more artificial media that I used, the elements disinteg- rate very rapidly. Fresh preparations, put up as described were studied either under an ordinary microscope or a polarizing ne. The effects of reagents and stains were determined by introducing solutions of these (usually very dilute) at the edge of the cover-glass, while the object was under obser- vation. B. PERMANENT PREPARATIONS. Observations of the visual elements begun on fresh unfixed material would be a logical introduction to their study, but, because of the difficulties in manipulation and interpretation, I found it hardly practicable. One must first gain some familiarity with the objects from a study of sections or, at least, from hardened material. On this account I have under- taken to describe first permanent preparations, selecting those which gave evidence of best preservation. 576 HOWARD. [Vor. XIX. IT. Osmic Acid Material. Osmic acid, or osmium tetroxide, (OsO,) has held probably as important a place as any fixing reagent in the investigation of the visual cells (Schultze, 66-72: Hoffmann, ’75; Greef, 7 OO): I have used osmic acid without admixture of other reagents chiefly in the form of vapor. Eyes which were not opened were suspended over a 2 per cent. aqueous solution of osmic acid in a tightly closed bottle for three minutes. This method seems to have distinct advantages over the use of this reagent in fluid form. It avoids the danger of distortion and tearing of cells by osmotic pressure; as no opening of the eye is necessary, the danger of disturbance from other mechanical causes 1s also eliminated. Penetration is very rapid, two or three minutes’ exposure being sufficient to fix the rods and cones. , p. 821) observa- tions of his own on fresh mammalian material. He finally No. 3.] VISUAL CELES, IN VERTEBRATES, 611 concluded, however, that the appearance was due to optical effects alone. It is evident in some of the references to an axial structure that quite different objects were in the minds of the authors. Kuhnt (see Schwalbe, ’87, p. 105) refers to the structure of the outer segment as, ““Kornige axiale und eine streifige periphere Substanz.” This description evidently, like that of Schneider ( : 02), who uses the term ‘*Achsenstab,”’ refers to all the mass of an outer segment inside the peripheral fibers, without any further differentiation within these. Dre- ser ('86) says, “Ich konnte eine axiale Substanz nachweisen,” and goes on to describe it as an ‘“‘Achsenkanal,” which gives to a cross section of a rod the appearance of a ring. This differentiation he was able to bring out only by certain chem- ical treatments and stains. . Bernard (: 01, p. 465) in speak- ing of the conditions in a living rod says, that a reticulum is condenced into [7. e. to form] the axes of the rods, the reticu- lum being replaced by an inflow or absorption of substance from the pigment granules, through the walls of the outer segment. The fiber of Ritter as described and figured is too small in rela- tion to the diameter of the rod to be identified with the axial core which I have observed. However, it seems probable from the figures of other investigators, that the same appearance gave rise to the various descriptions. For instance, an inspec- tion of Hensen’s (’67) figures shows that his cross section of the fiber are larger than they appear in the longitudinal view. In connection with the double refraction of the outer seg- ments I wish to call attention to some results which seem contradictory to my own. Valentine (’62) investigated with polarized light a large number of animal tissues including the rods of the retina and the axis cylinders of nerves, and as the following quotations show, he found that the reactions of these two bodies were not alike but opposite. ‘Die nahere Verfolgung des Gegenstandes zeigt, dass die optische Axe der Langsaxe der Nerven parallel geht; man also hier einen wahr- haft negativen Korper vor sich hat und die ganze Erscheinung nur von dem Marke herruhrt” (Valentin, 62, p. 123). “Man 612 HOWARD. [Vov. XIX. konnte theoretisch annehmen, das die Stabchen an und fur sich nicht anders, als die markigen Nervenfasern wirken’”’ (p. 136). “Jene [Stabchen] waren aber wahrhaft positiv und das Mark von diesen [| Nerven] wahrhaft negativ” (p. 136). It is thus evident that Valentin believed that the optical axes of the rods and of the nerve fibers were not in agreement, but were at right angles to each other, and this opinion was accepted by Max Schultze (67), Krause (’92),* and Greet (3300))- It is not easy to account for Valentin’s statement that the axis cylinders of nerves are negatively anistropic, unless we assume that in consequence of the imperfect knowledge of nerve structure at his time he has recorded the reaction of the medullary sheath, which 1s negative, instead of that of the axis cylinder. Valentin’s work was done on Torpedo mar- morata and shows that his observations were made almost entirely upon medullated nerves. It is quite evident that what he refers to as sheaths of the nerve must have been the positively reacting connective tissue of the peripheral nerves, for he makes no mention whatever of the brilliantly con- spicuous medullary sheath as such. He does, however, speak of pressing out the retina of a frog with a cover-glass and finding fibers which he considers to be parts of the optic nerve. These, he states, also showed negative reactions, but there is no certainty that what he described were really optic nerve fibers. In my tests of nerves I found medullated fibers unsatis- factory objects for clear demonstration of optical properties in the axis cylinder, because of the strong predominance of the reaction color of the medullary sheath. The non-medul- lated fibers from invertebrates (crayfish) were more satis- factory, but even here the presence of the positive Schwann’s sheath, though comparatively thin, made conclusive observa- **“TDie Aussenglieder sind ferner positiv doppelbrechend; die optische Axe liegt in ihrer Langsrichtung und es ist bemerkenswert, dass sie sich entgegengesetzt wie das bekanntlich negativ Nervenmark verhalten.” (Krause, ’92, p. 150.) No. 3.] VISUAL CELLS IN VERTEBRATES. 613 tion out of the question, for the color of the sheath was pro- jected on the less strongly reacting axis. It was, therefore, necessary to use nerve fibers without protective coverings. The naked axis cylinders radiating trom the entering optic nerve in the fiber layer of the retina, met this requirement. In order to get a clear demonstration of these, I made tests upon the retina from a perfectly fresh ox eye, where the large size of the eye made manipulation comparatively simple. In this case there was little difficulty in identifying the radiating bundles of nerve fibers, which were readily distinguishable from small blood vessels and other structures of a fibrous nature. The bundles of naked axis cylinders proved to be distinctly positive, thus agreeing with the rods, and I am consequently forced to conclude that ip some way Valentin’s observations were in_ this respect erroneous. The agreement in reaction to polarized light between the outer segments of rods and the axis cylinders of nerve fibers, though not necessarily referable to identical structure, may be of significance. In the outer segment we would naturally look for some association between the polarization and trans- mission of light. According to the wave theory of light, the vibrations are at right angles to the direction of propagation. Since the axis of maximum elasticity is transverse in the rods we would seem to have in them a condition most favorable for the transmission of light rays in the direction of the longitudinal axis. This set of conditions may be simply inci- dental and not essential in the physiology of vision, The reversal of polarization in the outer segments of rods with many reagents is a phenomenon the general occurrence of which is surprising, for one would naturally expect that killing fluids would destroy polarization (as some do) rather than that they would reverse it. The cause, which I only surmise, may be the contraction of certain structural elements producing a reversal of the conditions of stress in the body; 1. €., increasing the tension of one axis as compared with 614 HOWARD. [Vor. XIX. that of another. Such an effect may be produced in a cylinder of glass which under ordinary conditions is isotropic; pressure at each end will produce polarization in the negative optical direction with respect to the cylinder axis, while ten- sion at the same points will produce a positive reaction to the light. The latter would represent the normal condition in the outer segment of the rod; 7. ¢., the axis of maximum elasticity is at right angles to the cylinder axis. From what has been shown as to the complex structure of outer segments, their delicacy and sensitiveness to slight stimulation, I think it will be unnecessary to try further to disprove the view that they are cuticular in nature or even secretions (pp. 567-568). Nor is there any good reason for considering the outer segment non-nervous, for, as I have shown, the fibrils run the whole length of the visual cell, and these fibrils satisfy well the conditions which Schultze ('72a;"7oab. p. 827) leoked tor when he wrote:,. atone time believed it possible to point out the way in which the outer segment might take a share in the act of perception, namely, by means of the fibers, discovered by me, which run over the surface of the inner segment and are continued upon the outer segment.” Having considered the characters of the outer segment, we may now take up the cell organs of the inner segment, treating of them in the order of their occurrence from the distal to the proximal end. The intermediate plate, which has been observed in a number of forms, may be of more general occurrence than has been reported. Its small size would account for its having been overlooked, though it is usually differentiated clearly. The plate-like form and the fact that staining fibrils* pass over its edge only, and not through it, suggest an isolation function between inner and outer segments. Greef (: 00) applied the name “Zwischenscheibe” to it, supposing that the structure had not been previously described; but from a glance * Fibers which Schultze finally concluded were from sustentative tissue (Schultze, 72b, p. 823). No. 3.] FISUAL ‘GELES MIN@ BERT BE BTKALEES, 615 at Schultze’s (’67, p. 218, Taf. 13) description of what he calls the “Kittsubstanz,” it is evident that he referred to the same object. The latter term has been since applied more generally to the substance between the plates of the outer segment. Herzog (:05) figures an intermediate plate in both individuals of the double cones in Rana, but I am not certain of its presence in the cones of Necturus. The ellipsoid or its homologue is found in most vertebrates. The name is hardly appropriate, for its usual form is not ellipsoidal; but such a term is better than ‘‘Aussenlinse,” which assumes that its function is dioptric. Schultze’s term, “outer lentiform body,” has nothing objectionable except per- haps its rather prohibitive length. In our present state of knowledge concerning the ellipsoid, its significance, I think, can only be surmised. I can hardly agree with Pes (:00) in his belief that it is a nucleus and that the visual cells extend as independent elements only to the membrana limitans externa. It is true that aside from what is usually taken to be the true nucleus, it 1s the distinctly chromophil portion of the element, and might have specialized nutritive functions, but I have not seen the slightest evidence that it ever exhibits karyokinesis. The visual cells, so far as I know, never divide normally in the adult animal, excepting possibly at the ora serrata. The highly refractive and clear appearance of the ellipsoid in the fresh condition, suggests a dioptric function, but again the frequent occurrence of globules within its substance is a fact not consistent with this view. That the globules are simply coagulation products is possible, yet they are perhaps too regular for that. In the cones of the gold- fish the spherules are separated by equal intervals and are very uniform in shape and size (see also Hesse, : 04, Taf. 25, Fig. 4,6; Chondrostoma, and First, : 04, Taf. 3, Fig. 27, trout). I have seen no connection between structures in the ellip- soid and the fibrils which pass over its surface. If, as has been supposed, the ellipsoid and paraboloid have each the function of a lens, we have here an interesting adaptation of 616 HOWARD. [VoL. XIX. two bodies, in several ways quite dissimilar, to a like function. Contrasting them we find in the paraboloid little affinity for stains, comparative stability after death, persistent clearness and lower index of refraction, while the ellipsoid has a strong chromophilic character, marked instability, rapid clouding at death, and a higher index of refraction. Both are more refractive than the surrounding media and have such geomet- rical forms as to exert a marked effect on the light rays which traverse them. The fibrils within the sheath of the paraboloid are probably what Hensen (’67) first described in the frog as the longi- tudinal striation of the inner segment. Schultze spoke of these as separate fibrils, saying that such were not demon- strable in the outer segment. If his observations were correct for internal and external fibrils in inner segments of the rods in man (Schultze, ’72b; p. 824, top), then it would seem probable that the fibrils I have described as surrounding the paraboloid of Necturus would be the homologues of the inter- nal fibrils. The enveloping membrane reported by Merkel (’70) and Landolt (’71), I have not been able to find in Necturus; 1. e., there seems to be no conspicuous membrane distinct from the substance of the inner segment in which the longitudinal fibrils are embedded. Observations upon the farther course of the stained fibrils over the proximal part of the visual cell are not numerous. Schneider ( :02) describes these fibrils as passing over the nucleus. Hesse (:04) gives figures for the cones of Thalas- sochelys in which he shows spiral fibers proximal to the nuclei. I believe Bernard (:01) would have difficulty in upholding his contention that neurofibrils enter the nucleus. The fibrils which Schultze describes as forming the “fiber basket” (also Landolt, ’71) surrounding the rods in the human retina, can hardly be identified with those I have described. The latter converge proximally in the rod foot (PI. 2, Fig. 8) after leaving the nucleus. From the concentration in ~ . No. 3.] VISUAL CELES IN VERTEBRATES. 617 the rod foot it is very evident that they diverge into the outer reticular layer. If the fibrils came from the ‘‘fiber basket”’ and belonged to the Muller’s fibers, or sustentative cells, they would in general converge toward the nuclei of these cells located in the middle nuclear layer. Instead of this, the fibrils in question diverge on leaving the foot process of the visual cells. Verheeff (:03) contends, with good reason, that the old idea that the membrana limitans externa is made up of the external end of the Muller’s fibers, is incorrect. He finds a fenestrated membrane in the pigmented epithelium almost identical with the membrana externa, and argues that since this cannot be produced by Muller’s fibers the probability is against that being the case in the membrana limitans externa. He finds these fenestrated, net-like membranes present generally in epi- thelia and believes they are produced by the epithelial cells them- selves. Schneider (: 02) describes in epithelia what are prob- ably identical structures as “Schlussleisten’”’ and ‘“Desmochon- dren.” I have examined Dr. Verheeff’s excellent preparations of the human retina, in which this fibrillar membrane shows distinctly. I had previously seen the same in the pigmented epithelium of teleost retinas and puzzled over its meaning. Retzius (:05), however, shows in the pigment epithelium of the dogfish sustentative cells producing long intercellular fibrils. If such elements are generally present in retinal pigmented epithelia, Verhceff’s opinion would be somewhat discredited. However, Verhceff states that such are not present in man. By Cone Cenis: Every indication points to a complex structure in the outer segments of cones and, because of their instability, to a more difficult problem than in the corresponding part of the rod. This peculiarity, making it difficult to obtain outer segments of cones in the fresh condition, accounts probably for the absence of reports as to their double refraction. That 618 HOWARD. [VoL. XIX. the cones of some animals possess spiral fibers, seems fairly certain. \Whether there is both an external straight system and an internal spiral one, as maintained by Hesse (: 04), is open to question. The external straight fibrils in Necturus have been suf- ficiently demonstrated. As to the inner dark staining struc- ture, since it so frequently resembles a spiral, and since the latter is demonstrable in some animals, the balance of evidence would perhaps be in favour of the existence of that type of structure. That the external fibrils have a mechanical function (Hesse, : 04), I think is no more likely than that that should be the office of a spiral. The high degree of contractility ia the cone would not be inconsistent with a contractile spiral, such as is to be seen in the stalk of Vorticella. I have observed no sign of spiral fibrils in the inner segment of the cones of Necturus or the goldfish, except an occasional slightly oblique direction of the peripheral stained fibrils in Necturus. The double circle of fibrils, as seen in cross sections of inner seg- ments of the cones, may, however, have some special sig- nificance, though they are, so far as I have been able to determine, all of the same character. CG. Dousve Cones. The double cones of Necturus, showing the extreme of differentiation and evident specialization for particular func- tions, may offer a clue as to the functions of the various parts of the visual cells, and perhaps indicate the original line of differentiation between rods and cones. ‘The far- ‘cone, with its marked development of fibrils and other char- acteristics, practically the same as the single cones, evidently functions as these do, while the rear-cone, with its irregular and enormously enlarged paraboloid and ellipsoid of dif-— ferent form and staining qualities, must have a different office. On the theory that the nuclei of cells in general have a trophic function, it seems not unlikely that the near-cone No. 3.] VISUAL. CELLS IN VERTEBRATES. 610 takes a large part in the nutrition of these joined cells. This is suggested by the relations of its nucleus. The process which the latter sends distally down over the side of the paraboloid must be of significance. » The surface of the nuc- leus is increased thereby and noticeably that part of its sur- face which is in contact with the paraboloid and, through the paraboloid sheath, with the more distal cell organs. The nuclear sheath in this region seems to be very thin, or entirely absent, especially at the distal edge of the process. Here it is difficult to make out any distinction between nucleo- plasm and cytoplasm, as there is no sharp differentiation in the staining of the two. The dark staining nucleoplasm, however, shades off gradually, as if there were some limit, though an indefinite one The constant difference in stain- ing reactions between the two nuclei would seem a further indications of different functions. And again the loss of symmetry of the near-cone as to its nucleus and paraboloid must be associated with a loss of a light receiving office, as rays would not have the regular disposition that must result from the lens-shaped nuclei and paraboloid of the ordinary visual cells. If we seek between double and single cones a distinct difference that might be of physiological importance in relation to visual function, it would seem to be the greater distance of the outer segments of double cones from the source of light. There is evidently a rather small range of contraction in the double cones, so that their outer segments are more constantly remote from their nuclei. If the increased dis- tance were an advantage for a visual function, the distance from the nucleus might demand some new adaptation for more direct nuclear relations. Levi’s (:00) opinion that the double cones come from a single embryonic cell seems quite plausible. If that is the case, probably the nuclear division is complete while the cytoplasmic is less so. I have distinguished two nuclei in a great many cases and therefore do not agree with Schultze (’67) in the opinion that only one nucleus is present. 620 HOWARD. [VoL. XIX. IV. SUMMARY. 1. The visual rods and cones of vertebrates represent dis- tinct and separable elements of a sensory epithelium. 2. These elements are cells, usually much elongated, having a proximal fixed portion, containing the nucleus, and an extra- nuclear part ending free in the “ventricle of the primary optic bulb,’ or, more strictly, its morphological equivalent in the adult. 3. The fixed or nuclear portion is in close contact with other elements of the retina lying within the membrana limitans externa. It possesses in addition to the nucleus, a basal cytoplasmic extension, the rod-, or cone-foot. 4. The free portion (rod or cone) consists of two parts. distinguished by chemical and optical properties, the inner and outer segments. 5. In Necturus there are present three distinctly differ- entiated types of visual elements called rod-cells, cone-cells, and double cone-cells. These have the following structure : RopyGErus: 1. The outer segment has the form of a cylinder with a rounded distal end. 2. A sheath is demonstrable after fixation with osmic acid. On the inner side of the sheath are longitudinal, parallel, highly refractive fibrils, twenty to thirty in number, extending the whole length of the segment. Usually the fibrils vary from the strict longitudinal course so as to form a very open spiral. They project slightly on the surface, so as to produce a longitudinal ribbing. 3. With some stains and under certain light conditions. the outer segment exhibits a banded appearance, as of alter- nating narrow and broad transverse stripes. As cleavage occurs on such lines, it seems probable that the inner substance of the rods is arranged in plates. 4. . Ueber die Nervenendigung in der Netzhaut des Auges bei Menschen und bei Thieren. Arch. f. mikr. Anat., Bd. 5, PP. 379-403, Taf. 22. ScHuLtze, M., ’71. Neue Beitrage zur Anatomie und Physiologie der Retina des Menschen. Arch. f. mikr, Anat., Bd. 7, pp. 244-259, Taf. 20. SCHULTZE, M., 724. Die Retina. In S. Stricker, Handbuch der Lehre von den Geweben, Bd. 2, pp. 977-1034, 18 Fig. ScHuize, M., ’72b. The Retina. In S. Stricker, A Manual of Histology. Edited by A. H. Buck. New York, 8°, pp. 802-847. No. 3.] VISUAL. CELESY IN VERTEBRATES. 629 ScHWALBE, G., 87. Lehrbuch der Anatomie der Sinnesorgane. Erlangen, 8°, xiii + 570 pp., 199 Fig. SMITH, G., :06. The Eyes of Certain Pulmonate Gasteropods, with Special Reference to the Neurofibrille in Limax maximus. Bull. Mus. Comp. Zoél. Harvard College, Vol. 48, No. 3, PP. 231-283, 4 pls. * TREVIRANUS, G. R., ’36. Beitrage zur Aufklarung der Erscheinungen und Gesetze des organischen Lebens. Bd. 1, Heft 2, p. 42. Papillen der Netzhaut des Auges. Bd. I; Heit 3; poop, Nachtrage, Taf. 3-6. (Arch, f Amat, Physiol u. wise. Med., Jahrg. 1837, Jahresbericht ; Greeff, : 00.) * VALENTIN, G; “61. Die Untersuchung der Pflanzen. und der Thiergewebe in polarisirtem Lichte. Leipzig, 8°, vi + 312 pp., 3 Taf. (Valentin, 1625) VALENTIN, G., ’62. Histologische und Physiologische Studien. Zeit. £. rationelle Med., Reihe 3, Bd. 14, pp. 122-181. Veruoerr, F. H., :03. A hitherto undescribed Membrane of the Eye and its Significance. Boston Med. Surg. Jour., Vol. 149, pp. 456-458. Wiardse S500: «On the Morphology of the Compound Eyes of Arthro- pods. Studies Biol, Lab. Johns Hopkins Univ., Vol. 4, No. 6, pp. 287-334, pls. 29-35. WIEDERSHEIM, R., ’86. Lehrbuch der vergleichenden Anatomie der Wirbel- thiere. Jena, Auflage 2, xiv + 890 pp., 614 Fig. ZENKER, W., 67. Versuch einer Theorie der Farben-Perception. Arch. {. mikr. Anat., Bd. 3, PP. 249-262. VI. EXPLANATION OF PLATES: All figures are from Preparations of Necturus, except where otherwise stated. All, with the exception of Figures 22 and 46, were drawn with the aid of the camera lucida. The magnifications are indicated in the descriptions of each plate, and the means of obtaining them are shown in the following table: OBJECTIVE | MAKER OcuLarR MAKER oe Macnirication ENGTH IN DIAMETERS E Zeiss No. 3 Zeiss 136 mm. 830 E Zeiss Sheth clemA Zeiss 130m goo 13 Zeiss sn Zeiss Igo. * 1300 a Zeiss Tate Zeiss E36: a | 3800 Tz Leitz See a Zeiss 1365s ee 1450 . Leitz Ny Zeiss 1305 uN 1000 Soe ne Wetez Bes Zeiss TaiG, 1450 “| Leitz ars: Zeiss ce 1850 eS | Fuess pee Fuess 1000 No. 9 Fuess oan Fuess 450 No. 5 Fuess ee Fuess | 300 630 HOWARD. ABBREVIATIONS. ax. cyl., axis cylinder. bac. vir., green rod. cl. pig. rtn., retinal pigment cell. con., cone. con’., double cone. con. dst., far cone. con. prx., near cone. cp., corpuscle of fibril. dsc., plate. dsc. 1’m., intermediate plate. ell., ellipsoid. ell. bac., ellipsoid of rod. ell. con., ellipsoid of cone. ell. con. dst., ellipsoid of far cone. ell. con. prx., ellipsoid of near cone forl., fibril. gran. ell., granules of ellipsoid. gtt. ol., oil globule. ivly., sheath. ivlr. nl., nuclear sheath. ivlr. pa’b., sheath of paraboloid. ivlr. prs. dst., sheath of outer segment. med., axial core. mb. lim. ex., membrana limitans externa. my., myoid. my. bac., myoid of rod. my. con., myoid of cone. my. con. dst., myoid of far cone. my. con. prx., myoid of near cone. nl., nucleus. nl. bac., nucleus of rod. nl. con., nucleus of cone. nl. con’., nucleus of double cone. nl. con. dst., nucleus of far cone. nl. con. prx., nucleus of near cone. nil., nucleolus. pa’b., paraboloid. pa’b. bac., paraboloid of rod. pa’b. con., paraboloid of cone. pa’b. con. dst., paraboloid of far cone. pa’b. con. prx., paraboloid of near cone. pd. bac., foot of rod. pd. con. prx., foot of near cone. pd. con., foot of cone. pd. con’., foot of double cone. pd. con. dst., foot of far cone. pre. cl. pig., process of pigment cell. [VoL. XIX. No. 3.] pre. prs. prs. prs. prs. prs. prs. prs. prs. VISUAL CELLS INVERTEBRATES. nl., nuclear process. dst., outer segment. dst. bac., outer segment of rod. dst. con., outer segment of cone. dst. con. dst., outer segment of far cone. dst. con. prx., outer segment of near cone. prx., inner segment. prx. bac., inner segment of rod. prx. con., inner segment of cone. st. nl. ex., outer nuclear layer. st. nl. m., middle nuclear layer. st. pig., pigment layer. - st. ret. ex., outer reticular layer. vac., vsl., vacuole. vesicle. 631 PEALE au All figures are from Necturus and are magnified 1,450 diameters. All preparations were fixed in corrosive-acetic mixture and stained in Heiden- hain’s iron-alum-haematoxylin. Fic. t1—Two rods and one cone as seen in a radial section of the retina. The small rod at the right shows the peripheral system of stained fibrils. "These are seen most distinctly at low focus; 7. e., on the lower surface of the rod. The sides are out of focus. Small portions of the rods are broken away at the distal end. (Cf. other figures.) The paraboloid (pa’b. bac.) of the large rod, drawn in optical section, is clearly eccentric, a condition not very rare. The nucleus and other parts are shown from a focus at the near surface. The cone (on the left) has an appearance typical of this material. ‘The outer segment is much vacuolated and with only a slight general stain. Superficial fibrils show faintly and are slightly oblique. The fibrils over the paraboloid are more distinct. The paraboloid itself is out of focus. The heavily stained granules are characteristic of the ellipsoid (ell.) of the cones. Fic. 2—The double cones showing the marked differentiation between the individual elements of the couplet. In A the couplet is seen laterally; i. e., both cones are in the plane of section. In B the couplet lies in a plane at right angles to that of the section, and the far cone, only, is in focus. A comparison of the different views of the myoids (my. con. dst.) in the far cones in A and in B shows the flattening of the myoid. Fic. 3.—Cross section of an outer segment of a cone; the surrounding elements are in outline only. ‘The peripheral, stained fibrils are seen in section and also obliquely lengthwise; they are separated by some little space from the dark stained center. Fic. 4, A.—Cross section of a cone through the paraboloid. The stained fibrils occur in two concentric circles, neither of which is on the surface. Fic. 4, B.—Cross section of a rod through the paraboloid; the fibrils are closer to the paraboloid than to the surface. Fic. 5, A——Cross section of a double cone through the paraboloid of the near cone, and the myoid of the far cone. : Fic. 5, B—Cross section of the distal end of a nucleus of a rod showing fibrils in the surrounding cytoplasm. Fic. 6.—Cross section of the ellipsoid of a rod. The stained fibrils are superficial. The ellipsoid granules are distributed through the central portion. > VISUAL CELLS IN VERTEBRATES- HOWARD ni. bac. : my. con, dst. ~ 1a a Fig. 5 iad. ate: PEN ee PHOLOGY--VOL. XIX, NO. 3 ‘ yg 9 he my..con. dst; -= he. = PLATE 1 = ’ Ee sale Ses | | 7}: a) tj ve “elo * ws y | a pe {nh con. px. { my. con. dst. Gp. con. dst! B . Ves con. prs. om ‘5 eGo Wise | ial ee to a teh ys Be ieceent vay de sora _ ee ai et 7 eh hd A am ee a, “eh ae htt x ve , : ae Ang i | rer DP asieace ae Ns car Y if eet aoe ge a4 Ae sae eee a a cay > v PASH 2) All figures are from Necturus. Figures 7 to 11 are magnified 1,450 diameters; Figures 12 to 16 are magnified 1,000 diameters. Fic. 7—A large rod, slightly separated from its nucleus, and a double cone, the near cone in focus. In the latter, superficial fibrils are visible at the base of the outer segment, passing over the ellipsoid, paraboloid, and nucleus, and converging proximal to the nucleus in the cone foot. The fibrils of the rod in this particular preparation are more diffuse in the region of the foot than those in the foot of the neighboring cone. The material was fixed in corrosive-acetic mixture and stained in Mallory’s triple stain (Mallory, : 00). Fic. 8.—A single rod showing the relation of the stained fibrils to the nucleus and the rod-foot. The fibrils of adjacent elements are distinct until they diverge at the outer reticular layer of the retina. The nucleus of the rod in the center has shrunken away from its sheath, at its proximal end. The parabaloid in optical section gives the appearance of a coarse blue reticulum. The fixation and stain were the same as in Fig. 7. Fic. 9.—A cross section of the outer segment of a rod. The fibrils are distinct when seen in section. As a rule, vacuoles alternate with the fibrils. Fics. 10-11.—A cone and a rod, fresh, in normal fluids of the eye, and drawn in situ a few minutes after the removal of the retina from the living animal. Only a small portion of the nucleus of the rod is shown. The changes which so rapidly set in upon the death of the animal have already begun here. The outer segment of the cone, most unstable of all, shows evidence of disintegration; granulation has commenced in the ellipsoids and is more pronounced in the nuclei. The parabaloid remains compara- tively clear for some time. The latter is more refractive than the sheath, but less refractive than the ellipsoid. In the cone (Fig. 10) the paraboloid is a great deal more flattened than usual. A common relation of paraboloid and nucleus for fresh cones is shown in PI. 3, Fig. 20. Fics. 12 to 16.—Outer segments of fresh rods in fluid from the eye, showing progressive disintegration. Figures 12 to 14 were drawn within half an hour after the rods were removed from the eye. In Figure 12 the upper surface is in focus and only one diagonal is visible, while in Figure 13, where the lower surface is in focus, several of the diagonals (fibrils) are visible. The difference in the number of lines visible is apparently due to the optical effect of the cylinder. Figure 14 represents the appearance of a rod at the very lowest focus at which lines are visible. The more highly refracting fibrils are dark in low focus, while the less refractive intermediate substance appears light. Fic. 17.—An outer segment of a fresh rod seen in optical section. This view was obtained by laying a portion of a retina flat on a slide and focusing upon the rods in situ. In a retina thus examined the crenated edge of rod outer segments is very apparent, and in many instances where disintegration has commenced, radial fissures of variable length are to be seen extending inward from the sinuses. ‘The rods that are still intact show at first sight a homogeneous center with a crenated sheath; by close inspection this sheath proves to be made up of separate bodies (the fibrils in section). These are brought out more distinctly where the rods are illuminated by a direct light from the side. PLATE 2. VISUAL CELLS IN VERTEBRATES—HOWARD pd. con, —— -— ~ - pa’b, bac-— 4 Fig. 13° Fig. 14. Fig. 12 Fig. 15 AL OF MORPHOLOGY—VOL. XIX, NO. 3 ss a 7 ii ae ee : f Rs eal en , ti ae ari i ) i aur! itd ha anh : y rey ' a Re sag Le ay ‘ My Mone irk 4 er oof at seta ) nea ‘ 5 ins re te oe FP a : nr PADRE Ss Figures 18, 19, 21, 23 and 24 are magnified 1,450 diameters; Figure 20 is magnified 1,000 diameters. All the preparations, except that shown in Figure 22, were fixed in corrosive-acetic mixture and stained with Heidenhain’s iron-alum-hzema- toxylin; all are from Necturus, except Figures 18, 109. Fics. 18, 19.—Visual elements of goldfish seen in radial sections of the retina. In Figure 19 the three different types of elements, rods, cones and double cones are shown as they occurred in actual section. ‘The rods with long, thread-like inner limbs occur at varying distances from the membrana limitans externa. The double cones with long inner limbs are more distal than the single cones. The outer nuclear layer consists of four or five strata of large cone and smaller rod nuclei. In Figure 18 a double cone is shown in detail, only one of the couplet, however, being in focus. In the outer limb two to four spiral bands are seen. These do not correspond in number or in size with the straight parallel fibrils of the inner limb, seen just distal to the nucleus. The light area proximal to the ellipsoid is probably the homologue of the paraboloid in amphibians. Fic. 20.—A portion of retina embracing the pigment layer and part of the outer nuclear layer. A rod and single cone are shown in detail and a double cone in outline. The end of the outer segment of the rod is sur- rounded by processes from the pigment cells. The nuclei and inner seg- ments are in optical section; the outer segments in superficial focus. Fic. 21.—The near cone of a double cone showing plate-like structure. Vacuolation on opposite sides between alternate “plates” gives a spiral appearance. Superficial fibrils are visible at the Proximal end of the outer segment. Fic. 22.—A fresh cone in fluids from the eye and shortly after removal from the eye. The animal from which this was taken had been kept in the dark three days. This treatment induced elongation of the cone, but probably not to the extent seen here. The extreme elongation is a char- acteristic form assumed by the outer segments of cones upon the death of the organism. This outer segment gave the negative reaction with polar- ized light, being yellow when at right angles to the a axis of the gypsum plate. Fic. 23.—A cone typical of heavily stained material. In the center of the outer segment are structures which do not persistently retain the hematoxylin stain. The appearance is that of plates connected by a lightly stained axis. Their oblique relation to the latter suggests a spiral, made up of a continuous band or broad fiber. However, an entirely satisfactory demonstration of such a spiral has not been secured in Necturus. At the distal end of the outer segment superficial fibrils are visible, which take a direction slightly oblique to the long axis of the cone. Between the nucleus and ellipsoid the superficial fibrils are straight. ‘The paraboloid is drawn a little more distinctly than it would appear if the fibrils had been in focus. Fic. 24—Outer segment of a rod showing evidence of “plate” structure of great regularity. Fic. 25.—A portion of a cone. Distinctly staining, superficial fibrils are visible on the fragment of the outer segment. The ellipsoid is densely stained with hematoxylin. ast. ni. ex:' Vout OGY--VOL. XIX, NO. 3 . ee SP pina ey 95 e fe} } Bhs) scene ' | WA ! 1 \ j \ if ' a’b. 1\/) pa‘b oe 1 \( jf ! i a | ih ; isis 1 pay Ie if | ye ah ae prx. t \ | : } Pre. ch pig... ia ie PLATE 3 . 7 t ’ aa ‘ \e pd. con, ae Ach . ’ | | atte id : : st. ni, m. whol ’ \ i ~.— an of, \ ' 1 ee F \ ls j ora Gee | ee : ‘ : ? } , } ‘ bith"). \) r bd Wee} ; uy | & *) LS P “i ' st: ni.ex._, Bm \ f | Ce f \ ee. ey | { _ ; a r 5 : | | mb. lim. ox.- vy ~ is ai \ ea? nae hy ae vs) - \ ' jee |) \ pW \\ dsc \ h A it \ soe \ “ if \ E = \ ei A ell. . mere } ae See { ~ j l } f. 1 i - Re \ +) } \ io) fh _. gtt. ol. es fr y Sas ; B } 4 j | si , } Fig. 27 ie ot Fig. 32 i We. des 27 > | } ‘bac. vir. SOA =, oR 1 \ Lprs. prx. 1 = \ \ -prs. dst. 1 | -! ATS XIX, NO. 3 ; r : . } ‘d oy 4 wi oS f t (a £ ae 4 G Che) es / “4 ¢ : h ¥ \ 4 of hes PLATE s Figures 38 and 45 are magnified about 1,000 diameters; figures 39 and 40, 1,450 diameters; figures 41 and 42 about 1,100 diameters. Fic. 38.—Visual elements as seen in a radial section of the retina of Necturus, showing different~ staining qualities. The ellipsoids of single cones and of far cones stain alike. Those of the near cone and of rods also stain alike. All outer segments of cones stain alike The outer segments of rods contain a blue staining reticulum in additior. to the substance that stains with fuchsin. ‘The material was fixed in corrosive-acetic mixture and stained with aniline blue, fuchsin, orange G., phospho-molybdic acid, ete. (Mallory :00). Fic. 39—Thin section of a cone from the same material as that shown in Figure 38. The substance of the ellipsoid, staining with fuchsin, is in the form of globules, the arrangement of which gives some suggestion of rows. Superficial fibrils staining blue are visible between the ellipsoid and the nucleus. Fic. 40—A field of the outer segments of visual cells from the same material as that shown in Figure 38. The superficial blue fibrils are seen as dots in both rods and cones. One rod is drawn in detail. In this the peripheral portiors are much vacuolated and devoid of substance staining in fuchsin. Fics. 41, 42.—Isolated outer segments of rods in natural fluid from the eye, but containing a trace of ammonium-molybdate followed by toluidin blue. A central portion has taken up the blue stain in a some- what irregular war. The irregularity is probably due to a post-mortem disintegration. In Figure 42 the central staining core projects beyond the peripheral substance. Fic. 43—A field containing fresh isolated rods and a cone in eye- fluids as seen with a polarizing microscope having a gypsum interference plate. The latter when inserted between the Nicol prisms gives as a field color, red of the first order, while bodies in the field possessing polarity are yellow or blue according as their axes of maximum elasticity lie at right angles or parallel, to the a axis of the gypsum plate. This test shows that the long axes of the outer segments of both rods and cones are in the positive optical direction, indicating the short axis 1s that of maximum elasticity. The outer segment of the cone shows a much less decided reaction than that of the rod, while the inner segments of both show the neutral field color. Fic. 44.—A single medullated nerve fiber from the sciatic nerve of the frog as seen by the same color test as that described under Figure 43. The medullary sheath shows a very decided double refraction with the axes of minimum elasticity radial with respect to the axis- cylinder. The reaction of the axis cylinder, though not decided in this instance, is discernible as opposite in character to that of the sheath. (Continued on next page.) PLATE 5. (Continued from preceding page.) When the sheath is absent the reaction of the axis cylinder is seen to be unmistakably the same as that of the outer segments of the rods; 7. e., the longitudinal axis is the positive optical direction. Ic. 45.—Outer segments of a rod and cones from a Necturus that had been kept in the dark three days. The outer segment of the cone gives the long axis as the negative optical direction instead of the positive as usual. Fic. 46.—Diagram showing the polarization color reaction observed in the visual rod of the slug Limax maximus. The fibrillar structure is shown in black as figured by Dr. Grant Smith (: 06) from a preparation fixed in vom Rath’s platino-osmo-acetic mixture. VISUAL CELLS IN VERTEBRATES—HOWARD PLATE 5 oF, | bs : ’ / gine. ( [ ~ aa nl. \ Be es ‘ | | ; . : — gran. ell. — prs. dst. ‘ > “ell. con. dst. F ell. con, prx. Fig. 40 Fig. 41 Us prs. prx.! I | Fig. 43 v prs.dst. ~ Fig. 44 Fig. 45 JOURNAL OF MORPHOLOGY--VOL. XIX, NO. 3 ste, ci Ue ay * ww) Aad CG) C Re \ ine "ihe , A Sh tee ihe i ies rats ‘ a a Py ea) An ae on At. ana ay 4 pele ieee Pal are? ih y Ub ON Aen bia Jae, a Seed ‘Py feurak iy - . E~ ge OR 2 [3a 2 by 3 : 5 5 A 4 _ =. S mee - 7} $ CI eee