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Show or IUMOURS. or TUMOUR_S. mour has arisen from a wen or incysted tumour, it is an, encouragement to operate upon it. We hope that the deep. or part of the tumour is still separated from the surrounding parts by the remaining cyst, and prevented from incorporating with them*. , ' An incysted tumour may be so situated that it cannot be cut out, and yet something must be done to free the neighbouring parts from the pressure of it. I do not speak of the incysted tumours, the atheroma. and steatoma, but of such sacs of fluid as we may see about the tongue and throat, and which are imagined, but without any very direct proof, to be salivary tumours. These cysts ought to be freely opened. When punctured they inflame and thicken, and yet do not close altogether; even the seton does not obliterate their cavities, and when they are inflamed and yet are not obliterat- press the blood, and puncture it again and again in several places, then use compression. It may naturally be asked, 21? (Wilma. - w Sim ' W n v r _ "*5? n‘o‘. lug-wt-ak ,.. a...» _ .4» N" ".0..._...;.._.._A . wp~r-.,, 4,- . I . u T" why puncture to discharge the blood when it can be pressed from the tumour without this ? I propose puncturing not to discharge the blood, but to let it escape from the cells in which it is contained into the common cellular membrane, and to inflame the tumour, by which alone we can expect the con solidation of it, and the destruction of this cellular structure pressible, and have no pulsation, and are very slow in their growth. which receives and gives out the blood. I hope I need not again put my reader on his guard, to Warn him against such interference as I here recommend in cases of such vascular and bloody tumours as are described under the term aneurism by anastomosis, or tumours of blood where there is pulsation or discoloured skin, or tortuous veins. On this last subject of tumours of the skin with discolouration and tortuous veins, I have just to mention, that when at any time they shew a disposition to greater activity, by a wet bandage, by keeping a spongy cloth perpetually wet over them, their tendency to increase may be checked. Of a tumour forming in a nerve. I have given a plate of a tumour in a nerve, which by the continued pain it gave wore out the patient's health and destroyed him at last. I know not whether to consider this as a tumour of the nerve properly, or only as a diseased growth in the interstice of the ner- vous filaments. However that may be, I consider it as very necessary to call my reader's attention to the symptoms of this These tumours soft, compressible, and without discoloura- disease, and further to intreat him to attend to the course and tion, I have seen on the side of the neck. I have contemplated the dismay of a surgeon on opening such a tumour with the lancet, when he found pure blood flowing from a tumour over the carotid artery ! But there is nothing alarming in it ; they can be compressed. lhe practice I would recommend in such a case, were it affections of the nerves somewhat more than is usual, being convinced that by this he may be able to detect the nature or seat of disease when otherwise it will be impossible. It was but the other evening that a gentleman complained to me of a pain and numbness of the back of the thumb and tore.- again to occur to me, is, after you have proved that you can command the blood from one puncture, to puncture and CA" and an affection of the muscular spinal nerve. I visited a woman with a disease of the womb, who complained of an unusual pain and frequent spasms of the legs, I imagined that ‘ 'ee Mr Abernethy's Treatise. the disease had involved the sacro ischiatic nerve, and found ed, the sac thickens and becomes itself like a tumour. .‘ "I i n‘h'K'XLE-L 9 3 In my scheme of tumours I have mentioned under the head of incysted tumours, those containing blood. It is not always possible to distinguish these tumours of blood from such as have a proper secretion within the cyst, yet when they have no stool or firm sac, when by continued pressure we can empty them in a considerable degree, I am inclined to conclude that there is fluid blood contained in the tumour. These tumours are soft, colourless, and as I have said coul- finger, this I' found referable to a disease of the elbow joint, vor. 31-. G 9 r ‘ "l" "WWII WON) .i‘ Maser |