In many encysted tumours, hairs grow from the internal membrane of the
cyst, often numerous, and are generally found in those situated on the
eyelids; in some the hairs are destitute of bulbs, lie loose within
the tumour, and are often rolled into a globular form. The adhesions
of these tumours are in general very slight and easily broken up, but
when seated amongst tendons, or in unyielding parts, they are often
extremely firm. Violent inflammatory action may follow injuries of the
tumours, or the making of even minute openings into them; suppuration
occurs, the discharge is thin, fetid, and often bloody; there is much
pain, and frequently severe constitutional irritation. Occasionally
a fungus, bleeding or not, is protruded through the aperture; more
frequently, however, the opening heals, and the tumour remains as
before. External injuries sometimes appear to check the secreting
action, and to excite the absorbents to remove the morbid growths,
and this with or without rupture of the cyst. Thus, in the case of
an encysted tumour the size of a hen’s egg, on the external lateral
ligament of the knee joint, free and pretty rough manipulation was
necessary to ascertain its nature and exact situation; in consequence
of which, the tumour gradually disappeared, and no traces of it
remained twelve days afterwards. Others of less size, I have known to
disappear in a much shorter period.
OF TUMOURS OF BONES.
The vascular action of bones, in their healthy state, is feeble, but,
as in other feeble parts, it is easily excited, and disease of an
obstinate and unyielding nature is apt to follow.
The morbid growths vary much in texture. The most frequent are the
osseous, or those of the same structure with the original bone;
but even these differ much in the density and arrangement of their
particles: they have been termed _exostoses_. They may be of great
density, and are then called the hard, or ivory; these never attain a
large size, seldom exceed that of a bean, have a smooth and polished
surface, and are of a flattened and hemispheroidal form, their greatest
circumference being at the base; they occur in many of the bones, but
generally in those of the cranium and face.
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