Has been much confounded with medullary sarcoma, but the two diseases
are materially different. Fungus hæmatodes almost always supervenes on
other morbid formations, when they have been ulcerated and exposed;
and the particular formation which most frequently precedes is the
medullo-sarcomatous; a bleeding fungus, however, occasionally protrudes
from tumours of a different character, which, though they may have been
at first simple, have degenerated, ulcerated, and assumed a malignant
action. The disease certainly does not occur so frequently as some have
asserted; for many, instead of limiting the application of the term
to those fungous protrusions which bleed, honour with the appellation
of fungus hæmatodes every growth which protrudes after the ulceration
of a tumour, and every tumour which is unusually prominent, of soft
consistence, and of a somewhat fungous appearance, although such have
never shown any disposition to bleed, either spontaneously, or from
irritation. But fungus hæmatodes, as the name implies, is truly a
fungus which resembles blood; and as bloody or blood-like tumours are
formed from the rupture of some vessel of rather a large size, and
as they almost invariably evince a tendency to profuse hemorrhage,
as a necessary consequence of the mode of their formation, the term
is correctly applied only to those fungous growths which either have
at one time emitted a discharge of blood, and exhibit symptoms of a
recurrence of the hemorrhage, or which frequently pour out a quantity
of blood, sometimes inconsiderable, but often profuse, and generally
altogether uncontrollable. In short, the circumstances necessary to
entitle a morbid formation to the appellation of fungus hæmatodes are
a fungous structure and appearance, and hemorrhage proceeding from it
to a greater or less degree, and with more or less frequency. Fungi are
frequently met with, but there are certainly few hæmatoid fungi.
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