A probationary essay on cancer : submitted ...to the examinationof the Royal College of Surgeons of Edinburgh ... / by George Johnston ... March 1824.

  • Johnston, George, 1797-1855.
Date:
1824
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Licence: Public Domain Mark

Credit: A probationary essay on cancer : submitted ...to the examinationof the Royal College of Surgeons of Edinburgh ... / by George Johnston ... March 1824. Source: Wellcome Collection.

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    a hard tubercle, a dark varicose knot, has existed therefor a considerable period, giving no pain, and exciting no mental uneasiness. It is cut with the razor, or, to relieve some occasional heat or itchi¬ ness in it, is rubbed by the hand; it scabs over once and again ;—the irritation being repeated it heals not, hut enlarges, its margins become raised, hard, red and painful, pretty like, says Hiche- itAND, those of a syphilitic ulcer, hut the pain is more severe, and of a different character, and the discharge is thin and ichorous *. This descrip¬ tion we have taken, in a great measure, from the work just quoted, but it accords very indifferent¬ ly with a few cases we have had an opportunity of seeing. In these there was a tumour in the lower lip, somewhat less than a filbert, hard and circumscribed; its base deeply fixed in the sub¬ stance of the lip, and its apex rising considerably above it. The exposed surface was not, strictly speaking, in a state of ulceration ;—I mean there was no loss of substance;—there was no cavity scooped, as it were, out of it, but it had a warty granulated appearance, and these granulations were of a hard and cartilaginous nature, between \ which lines of ulceration ran, discharging a thin * Nosog. Chirurgicale, tom. i. p. 236.