Identifier: practicaltreati00hyd (find matches)
Title: A practical treatise on diseases of the skin, for the use of students and practitioners
Year: 1897 (1890s)
Authors: Hyde, James Nevins, 1840-1910 Montgomery, Frank Hugh, 1862- joint author
Subjects: Skin
Publisher: Philadelphia, New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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es, and a purulent secretion. The bases of these softmasses are remarkable for the ease with which they can be curettedand thus radically removed. A careful study of well-marked cases of papillary epithelioma indi-cates clearly that while ulceration often results, the centre of the massbreaking down and furnishing a typical cancerous excavation, withhard and rounded or oval border, uneven base, irregular granulating NEW-GROWTHS. 673 floor, and offensive discharge, the picture may be wholly different.Often the Avholly superficial process extends widely over the brows,cheeks, and chin, interspersed with raised cicatriform areas, suggestingthat ineffectual attempts had been made to check the disease by sur-gical measures. These apparently atrophic disks, mingled with vas-cular, florid, fungiform, pyriform, and oddly shaped outgrowths, arereally cancerous infiltrations of the type of discoid epithelioma. Theymay be seen gluing the lobe of the ear to the cheek (Fig. 87), or evert- FlG. 87,
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Superficial papillary epithelioma of the face, with agglutination of the lobe of the ear to thecheek. The central portion of the right cheek is the seat of a cicatriform infiltration. (Froma photograph.) ing the lower lid, even when superficial papillary vegetations are thepredominant features of the disease. Epithelioma of the skin occurs also with multiform features,almost as numerous as the several different lesions from which acutaneous cancer may take its origin. Thus, a wart, a button,a vegetation, a crack, an erosion, may result in a fissure which bleeds 43 674 DISEASES OF THE SKIN. easily and refuses to heal. After a persistence for months or foryears there forms an epithelioma, assignable to one of the clinicalvarieties described above. In other cases there may be a number ofgreasy scales upon the skin-surface resembling those seen in a well-marked seborrhea sicca, and in one or two spots; the removal of thesescales offers to the eye a superficial erosion implicating the derm

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