Encysted tumours, or wens, as they have been called, often appear
to be hereditary; seldom occur single, and are met with under the
surface of all parts of the body. They have been divided into different
classes, according to the nature of their contents: _Atheromatous_;
containing curdy matter; _Meliceritous_, containing a substance like
honey; and _Steatomatous_, containing fatty matter, generally in
a semifluid condition. But such terms are not adequate to express
the nature of all encysted tumours; they are extremely various in
their actions, and their contents vary according to the particular
secretory action which the lining membrane of the cyst assumes; for
the same reason, also, the contents of a tumour will differ in the
different stages of its progress. Some contain a thin, fetid, brown
fluid, mixed with solid particles, resembling half-dissolved fibrinous
matter; in some the contents are serous, or seropurulent,—in others
they are gelatinous; whilst in those which have become inflamed from
external irritation, the contents are altogether purulent, or contain
a very considerable proportion of that fluid; not unfrequently the
cyst is covered internally by a layer of calcareous matter, to which
similar particles are loosely attached. Sometimes, in consequence of
irritation, organisable matter is poured out on the inner surface of
the cyst, adheres firmly to its inner surface, and is often disposed in
concentric laminæ.
[Illustration]
Sometimes, though rarely, the most prominent parts of the tumour
ulcerate, and on the exposed surface is deposited a substance of
semifluid consistence and gelatinous appearance, which afterwards
increases in density, and ultimately assumes all the characters of
horn. This hard excrescence in some instances increases only to a
slight degree, and afterwards remains stationary; in others it attains
a large size, and occasionally assumes a curved or tortuous form,
like that of the horns of inferior animals. Horns are generally met
with on the forehead, and the scalp may be said to be their seat. The
largest which I have seen, measured seven inches in length, and two in
circumference; but others have been removed still larger.
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