OCR Text |
Show or renames. or TUMOURs. 217 [would place here, under the head of incysted tumours; sacs containing fluid blood, such as I have seen about the throat. Cysts containing matter dense, like these three last exam. ples, have been called lupia. 4. CARCINOMA. A tumour of a gland, in a state of activity approaching to cancerous ulceration*. The tumour is hard and unequal ; there is a lancinating pain in it; the skin is purple, or livid red ; and the cutaneous veins are en- larged. ‘ [3" To the term Carmen we find the words ttpcrtus and orultus joined ; the first meaning consistence of honey. An incysted tumour, the matter contained being pultaceous. An incysted tumour, the contents of which are fatty, or like suet. Arumonu. Sims-mam. the open ulceration ; and the other, the sense I have given to Carcinoma. The spreading of varicose veins over the surface of the tumour being considered as a symptom of great malignity, was the reason of the term wager being used ; they conceived they saw a resemblance in the branching of the veins to the claws of the crab! A true cancer, arrived at ulceration, has the edge II. GLANDULAR TUMOURS. (Phymataés). 1. Senornurons Tumouns. . 9-:.3~:¢-:~‘ a "not..." «r- 1;" v 2. SARCOMA. Atumour, to the feeling of the consistence of flesh. Under this head we must place a very great variety of diseased enlargement of the glands, \‘ varying in the kind of glands they attack, in their outward character, in the celerity of their growth, in their termination, and in the ap» pearance of their contents. There will of course fall under this head several tumours: of distinct glands : as, Bironcu ochz. Enlargement of the thyroid gland. Saxcoce Ls. Fleshy tumour of the testicle, or cord. of the ulcer serrated, indurated, retorted; the errosions betwixt the excrescences are deep, and bleed from time to time; there is constant burning pain, and the discharge is sordid, sanious, and peculiar in its fzetor. Internal parts and canals having a glandular structure, though not the outward form of glands, partake of the scirrims and carcinoma. We have the disease in the (esophagus, in the stomach, in the rectum, &c. 5. Brno. 3. Scrannrs. A hard, irregular, and indolent tumour of a gland. The knobby hardness of a tumour is, A hard, phlegmonous, swelling of a lym phatic gland, from disease received through the absorbent system; or symptomatic of acute and malignant constitutional derange- " A tumour having its seat in a gland : " born otitselt'." and proceeding from up evident injury. ment. " \Vhen a surgeon writes that his patient is strumous, the case is undefined ; but there are swelled glands with suspicion of scrophula. If he says, he has scirrhus tumours about the neck, I understand, somewhat indefi- nitely, that they are hard and knobby, and suspicious in their nature ; but when he says, that they are carcinomatous, I imagine he has no doubt from the veins about them ; from the hardness and lancinating pain, and l‘IICffi'tfiA ed inflammation, that they are cancerous, and of a fatal kind. VOL. n. , f -"'""""I.‘ 'WW-de-i ._. we. . no doubt an alarming circumstance, but such indolent affections of the glands often appear in mature years, which prove unconquerable, and yet continue innocent to the latest period of life. When surgeons speak of the true and exquisite scirrhus they mean the carcinoma. -.;.;¢;-v,s4. .v. . Mcmczms. An incysted tumour, the matter being of the E ‘2 "fix . c 7 T‘ "7:15"; . WUNt M999? , |