This species of tumour, or rather this enlargement which precedes
the formation of a tumour, is chiefly met with in the cellular and
glandular structures. Sometimes it is described under the term of
œdema solidum. In the scrotum, where the cellular tissue is remarkably
loose and extensile, such tumours attain a very large size. They are
found in this country, though more frequently in warm climates. I
removed one from this situation successfully, which weighed upwards
of 44-1/2 lbs.; it had been of twelve years’ duration, and caused
much inconvenience to the patient. It is sketched in the _Practical
Surgery_, p. 341. It occurs in the mamma, apparently in consequence of
suppression of the menstrual discharge; the gland becomes enlarged,
there is no pain in the tumour, and it feels soft and doughy. When the
subcutaneous cellular tissue is the seat of the disease, the tumour is
often of considerable extent, but rarely forms a great protuberance.
It sometimes is situated in the coverings of the nose, which, as they
become enlarged, lose their natural colour, and assume a purple hue;
the mucous follicles also are often much enlarged, and occasionally
emit a profuse discharge of their secretions. It can be readily
understood that in this situation the tumour is a source of much
annoyance, from its partially obstructing respiration, and even vision,
interfering with the functions of the parts and the comfort of the
patient.
It has been already observed, that when simple enlargement exists for
some time the structure changes. It becomes more dense, and assumes a
peculiar action, independent of that of the surrounding parts. It has
a harder and more firm feel, and all traces of the texture in which it
was formed are destroyed. It may be considered as the next in order to
the one already mentioned, both as to the simplicity of its structure
and action; but in consequence of its action being independent of
those of the neighbouring parts, and liable to change from even slight
causes, it is very apt to degenerate into those tumours which are more
complex and injurious.
ADIPOSE TUMOURS.
[Illustration]
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