In the breasts, parotid glands, and some other conglomerate glands,
the disease begins as has been described; but on the skin, and in some
other parts, the progress is somewhat different. The skin, particularly
that of the face, is apt to have a small chronic pustule formed on it,
by the inflammation of one of the sebaceous glands, which, by degrees,
becomes harder, firmer, and more elevated. Soon afterwards, it becomes
rough, and of a warty appearance: It then ulcerates on the surface.
This is covered with a scale or scab, which repeatedly falls off, and
forms again upon the part, until it assume the appearance and character
of the cancerous sore. But, more frequently, the disease is not allowed
to follow this progress, the wart either being rubbed off accidentally,
or removed by ignorant persons. The part then forms a superficial
ulcer, which is slightly hollowed. It is of a glistening flabby
appearance, and the margins are hard, tumid, and a little turned back:
But after the disease has continued some time, the flabby appearance of
the sore is converted into fungus. We may, therefore, from this, and
other cases, conclude, that cancerous ulcers, which are formed without
previous abscess, form fungus more slowly than those which are formed
with them.
When the lips become cancerous, there is generally first perceived
an indurated lump, of greater or less bulk. The skin over it becomes
tender, frets, and is covered with a scurf or scab, which gradually
becomes elevated. Part falls occasionally off, but it is soon replaced.
This by degrees extends itself over the prolabium, and, after some
time, falls off entirely, leaving the part with all the common
characters of the cancerous ulcer. The pain is burning.
When the testicle becomes cancerous, it sometimes follows the common
course of cancer in other glands, beginning with hardness and shooting
pain in some part of the testicles or epidydimis, which gradually
forms an abscess, and ulcerates. But, at other times, soon after
the testicle becomes diseased, an effusion takes place within the
tunica vaginalis. In this case, the disease of the testicle becomes
complicated with hydrocele. It is distinguished by our feeling the
hardness of the epidydimis behind, or the hardness and inequality of
the testicle, when the water is drawn off. It likewise, after some
continuance, becomes more painful than a common case of hydrocele. If
the testicle be not extirpated in due time, the cord becomes hard and
swelled, and comes to ulcerate.
Cancer in the penis generally begins by a kind of warty tumor, and
follows the course of cancer in the face. Sometimes the penis becomes
just like a cauliflower, a large fungus extending from its ulcerated
extremity.
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