It may be observed generally, that no benefit can be derived from
external applications to tumours, such as friction with liniments or
ointments containing iodine, mercury, &c.; and that, therefore, it is
injudicious to employ such temporising measures; for though a tumour
at its commencement appear to be of a very harmless nature, yet it
may soon assume a most malignant character. If an apparently simple
tumour increase, and exhibit symptoms of inflammation, it will perhaps
be advantageous to apply leeches, to arrest that incited action which
affords the accession of new materials; this, however, cannot check
the morbid activity inherent in the new formation, though it may
hold the growth in check a little. If a tumour is to be removed by
external applications, it is evident that these must be such as shall
prevent the deposit of new matter, and allow the absorbents to remove
that which already exists; for absorption is always going on in a
tumour, though it leaves no evidence of its progress, on account of
the deposition of new matter exceeding the removal of the old. I must
say that I am unacquainted with any remedies capable of performing
the above indication. The removal of a swelled gland may occasionally
be accelerated by such means when stationary, or on the decline,
and before cheesy tubercular unorganized matter is infiltrated into
its texture; but to trifle so with a new and independent growth is
altogether absurd. The knife only is to be depended on.
Many of the tumours first described have no malignant disposition
originally, and only require surgical interference when they produce
deformity or inconvenience from their bulk. Yet even these ought not
to be allowed to attain any great size, however indolent they may
appear at first, and however little pain they may produce; for there
is always a danger of their assuming a malignant tendency, or forming
connections with important parts, so as to render their removal either
altogether impracticable, or at least attended with much difficulty.
Tumours of every kind, when seated near important organs, must be early
removed. Glandular tumours, however, even when of great size and long
continuance, are not to be rashly interfered with, when they arise from
irritation in the neighbourhood.
Public-domain text, read in full here on John Shaqi.
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