An Introduction to Surgery

Cover An Introduction to Surgery
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— Estimate (i) its consistency, (2) surface, (3) edge, and (4) relation to surrounding parts : 90 CANCER The cancerous tumour is hard, often stony hard ; has a nodular surface ; an edge which cannot be accurately defined all round ; is fixed to the tissues in which it lies, and invades the surrounding structures and lymphatic glands.
The primary growth often chooses sites in which the vascular supply is best, such as margin of lip ; side of tongue ; lesser curva- ture of stomach ; trigone of bl
...adder ; and still more often, sites at the junction of two different surfaces — for example, skin and mucous membrane of lip ; pharynx and oesophagus ; oesophagus and stomach ; Fig. 82. — Skin Epithelioma.
Notice the growth in excess of destruction.
pylorus and duodenum ; ileum and colon ; and rectum and anus : but the most frequent site of all is the skin.
Symptoms and Signs. — It cannot be too strongly emphasized that, in the early and hopeful stage of cancer, there is no pain ; there arc no alarming symptoms ; and the physical signs are not likely to be characteristic.


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