preserve the limb in a state of complete rest, and, in fact, he is
often wholly unable to use it; although the part is completely set
at rest, still he frequently suffers from paroxysms of severe pain,
commencing in the tumour and shooting through the limb. The painful
sensations are sometimes very much alleviated by gentle friction with
the hand. The disease is most frequent in the extremities, and in the
inferior more than in the superior.
The larger nervous trunks sometimes become diseased, being affected
with an enlargement resembling the structure and appearance of the
preceding tumour, and such enlargements are termed _Neuromata_.
Occasionally a portion of a nervous trunk is thus enlarged, from a
blow or wound; and sometimes there can be no cause assigned. Nerves
when divided, become bulbous on that extremity towards their centre.
In stumps this is well seen; whilst all the tissues entering into it,
after a time shrink, and become more or less atrophied (bone, muscles,
vessels, &c.), the extremities of the nerves swell out and present
a bulbous appearance. When these tumours are connected to, and only
covered by, integument, or when they are adherent to the ligamentous
substance covering the bone, and become exposed to pressure, as in
badly made stumps, the patient often suffers excruciating agony. The
nervous trunk above is, in general, slightly enlarged, sometimes has a
tortuous course; and in some instances the neurilemmal bloodvessels are
considerably increased in size. The same symptoms exist, though in a
less acute form, as in the painful tubercle.
OF POLYPUS.
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