to the capillaries having only the diameter of a blood corpuscle, that
these vessels become during suppuration sufficiently dilated to admit
of rows of pus globules. Thus, during the formation of an ordinary
product of inflammation, the capillary vessels are enlarged; and if
excited to still further activity, and for a more protracted period, in
the nutrition and formation of tumours, the minute vessels will become
still more dilated, and filled with other materials than purulent
matter. In a melanotic eye, which I lately examined with Mr. Dalrymple,
there was a part in which the black matter seemed to be contained
within the capillary vessels.
The cancerous tumour afterwards presents a stony hardness, is generally
of a globular form, and irregular and unequal in its surface. At a
still later period it gradually enlarges, in the way already mentioned,
remains moveable for some time, but ultimately becomes fixed by the
increased extent of its connections. By these circumstances it may,
in general, be distinguished from the tumours which, from the first,
occupy a wide space, and are firmly fixed by intimate connections
with the surrounding parts. When the tumour has once been developed,
its progress is slow and steady, being arrested, or made to recede,
neither by the efforts of nature nor by the interference of art. Pain
is generally complained of in the region of the tumour, and is of a
lancinating kind, compared by the patient to the passing of sharp
instruments through the part; occasionally, however, there is no pain
in the new formation, and little inconvenience is caused by it. When
the disease is left to itself ulceration occurs, frequently at an
early period; but sometimes only after the tumour has been of long
duration. The superimposed integuments appear stretched, change their
natural colour, assume a dusky or livid hue, become attenuated, and
ultimately give way; the breach of surface not being caused by tension
and pressure, but by the parts having assumed an action similar to that
of the tumour. The ulcerated point slowly enlarges, a thin ichorous
fluid is discharged, the surrounding integuments are of a dusky red,
and the margins of the ulcer are thickened, callous, everted. Whilst
the destructive action proceeds in a lateral direction, it at the
same time advances towards the more deeply-seated parts, the cavity
becomes excavated, irregular, and ragged; and the parts seem to be
destroyed partly by ulceration and partly by sloughing. The exposed
surface seldom aims at reparation; and when it does, the granulations
are greyish, hard, warty, and endowed with but little vitality; never
investing the whole surface, but protruding from certain points,
and presenting somewhat of a fungous character. The thin unhealthy
discharge becomes profuse, and exhales a peculiarly fetid odour, highly
offensive to the patient and attendants. By these means the ulcerated
cavity may attain an enormous size, presenting a most disgusting
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