File:An American text-book of genito-urinary diseases, syphilis and diseases of the skin (1898) (14595965919).jpg

Identifier: americantextbook00bang (find matches)
Title: An American text-book of genito-urinary diseases, syphilis and diseases of the skin
Year: 1898 (1890s)
Authors: Bangs, Lemuel Bolton, 1842-1914 Hardaway, W. A. (William Augustus), 1850-1923
Subjects: Urogenital System Urination Disorders Syphilis Skin Diseases
Publisher: Philadelphia, W. B. Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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xists in the form of medullary carcinoma, althoughrarely it may be scirrhous. It generally originates in the body of the tes-ticle, although at times the epididymis is its starting-point. When the growthis soft and succulent, its usual variety, it progresses very rapidly, especially GROWTHS IN CONNECTION WITH THE TESTICLE, ETC. 253 if its victim be young or robust. It soon extends beyond the confines of thecapsule of the testicle, invading the loose connective tissue round about andalso the scrotum. The cord itself is often involved. The scrotum wheninvolved becomes brawny and adherent to the mass within it. Its veinsalso stand out prominently. Pain in the testicle itself is sometimes wanting,while at other times it is prominent and severe. As the disease advancesthe deep pelvic chain of lymphatic glands becomes involved, giving rise tomuch pain. Later on also, after the disease has extended beyond the testicle,the inguinal glands may become affected. The disease in its earlier stages
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oid cyst of the testicle (Eeclus). may be accompanied by hydrocele. It may also be more or less cystic. Itstissues may break down, forming local sloughs. Such spots appear throughthe scrotum as soft and fluctuating. They may eventually discharge them-selves, leaving putrid sinuses from which fungous masses may project.Sometimes cancer of the testicle may attain the size of a head. The onlytreatment for cancer of the testicle is early removal. After cancer has devel-oped to any marked extent its malignant nature can easily be recognized.At first, however, its appearance may be simulated by late syphilis of thepart and rarely by tubercle or cystic disease. When a case is encounteredwherein cancer of the testicle is suspected in one who has never had syphilis,immediate extirpation of the testicle, together with the cord, should be prac- 254 DISEASES OF THE TESTICLE, ETC. tised. If there is a strong suspicion that the disease may be syphilis, vigor-ous mixed treatment should be employed.

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