The cancerous ulcer increases more or less rapidly, and is soon
attended with a burning pain; the surface is unequal, excavations
appearing in some parts, whilst in others a fungus rises up. The
colour is brown, but glistening or fiery. The granulations very soft
and indistinct. A thin ichor, of an abominable fœtor, is discharged in
great plenty, mixed with blood; whilst, in many parts, small pellicles,
like lymphatic exsudations, cover the sore. The surrounding skin is of
a dark purple colour, and the adjacent parts very hard. The margins,
which at first were overlapping the sore, in the course of a few days
are uniformly elevated, and frequently retorted and unequal, as if they
had been bitten by an animal; and over these the fungus frequently
shoots or protrudes, so that the sore assumes the appearance of a
cauliflower. This ulcer bleeds a little upon the slightest touch,
so that at every dressing the cloths are generally bloody; but, at
times, this bleeding is more alarming, proceeding from the bursting
of the diseased veins. These hemorrhages are, in some instances, very
frequent, and reduce the patient to the greatest weakness. Sometimes
they suddenly relieve the unhappy persons from all their woe.
Some time after the abscess forms, and frequently before ulceration
takes place, the neighbouring lymphatic glands swell, and become
affected with a similar action, and follow the same course with the
original sore; only in them the progress is generally more rapid.
After ulceration takes place, sometimes before it, if the abscess
be considerable, hectic fever takes place; the countenance becomes
sallow and unhealthy; the pulse quickens, and becomes small and sharp;
the strength fails; night sweats come on, and colliquative diarrhœa
hastens death.
The parts in which cancer most frequently appears, are the under lip,
the breasts of women, and the testicles of men: But there is no one
part of the body in which it may not occur, although most frequently it
is, in its original attacks, confined to secreting glands.
Public-domain text, read in full here on John Shaqi.
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