The uterus, in elderly women, is very frequently affected with
cancer[108]. It begins with a feeling of weight and uneasiness in the
lower part of the belly, and the natural discharge of the parts is
increased, so that the disease passes for fluor albus. By examination,
however, we may generally discover a hardness, and sometimes an
inequality, about the os uteri, and may discover the uterus to be
unequally enlarged. After some time, ulceration takes place, and
matter, mixed with a bloody fluid, is discharged. Occasionally,
considerable hemorrhages take place, which are not unfrequently
confounded with menorrhagia; but it may be distinguished by the
continued discharge of a bloody sanies during the intervals of the
hemorrhage; by the continual pain, and especially by our feeling the
projection of the os uteri into the vagina, in some places hard, and
in others soft, but rough, which shows ulceration. After some time,
the glands about the vagina swell; and that canal, in many places,
becomes considerably straitened. Hectic terminates the sufferings of
the patient. On opening the body, we find the uterus generally though
not always, considerably enlarged, with abscess and ulcers in different
parts of its substance. These ulcers, as well as those of the ovarium,
and, so far as I know, every gland in the internal cavities of the
body, have a less tendency to fungate, than cancerous ulcer on the
surface of the body.
[108] It has been said, that genuine cancer is very rare in the uterus,
and that the cases which pass for such are phagedenic. But although the
uterus may be affected with scrophulous inflammation, and phagedenic,
as well as some other specific affections, yet it must be admitted,
from an examination of cases, that the uterus is very frequently
attacked with true cancer. Its substance is found enlarged, hard, and
containing cancerous abscesses in different parts.
When inflammation attacks any organ, or part of the body, and leaves
a chronic tumor, this may assume, as will afterwards be mentioned, a
new inflammation, and may become affected with cancer; though it more
frequently happens, that it assumes the pseudo-cancerous action. The
symptoms and progress of cancer are much the same here as in the breast.
When the eye becomes cancerous, it, unless the disease begins in one of
the glands, such as the lachrymal, or those of Meibomius, is first of
all affected with simple inflammation, which destroys the whole texture
of the eye, and makes it of a different structure, rather resembling
a confused mass than a well organised body. The lucid cornea becomes
opake, and protrudes; the eye enlarges, is affected with a violent
deep-seated pain, and at last bursts, generally on the apex: From this
a fungous substance protrudes, which manifests all the symptoms of the
cancerous ulcer, and in a short time arrives at a great size.
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