The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . reat measureas in some chronic inflanmiations, and the ill-defined tumor with the slightsigns of inflammation renders the diagnosis very uncertain. The difficulty ismade greater by two circumstances: first, a carcinoma may become actuallyinflamed, and suppurate; second, an inflammation with or without suppura-tion may immediately precede the formation of a carcinoma. In the presenceof these complications the diagnosis may be at first impossible, and in manycases can only be arrived at by c
The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . reat measureas in some chronic inflanmiations, and the ill-defined tumor with the slightsigns of inflammation renders the diagnosis very uncertain. The difficulty ismade greater by two circumstances: first, a carcinoma may become actuallyinflamed, and suppurate; second, an inflammation with or without suppura-tion may immediately precede the formation of a carcinoma. In the presenceof these complications the diagnosis may be at first impossible, and in manycases can only be arrived at by careful watching of the case. It should be bornein mind that even the presence of enlarged glands is by no means incompatiblewith inflammation. The enlarged glands of inflammation are, however, gen-erally less hard and more tender than those of carcinoma. The diagnosisof carcinoma dei)ends, in the large majority of cases, on several or manyass(K!iated conditions. Thus, the age of the patient is always a matter of im-portance ; for, however closely a tumor in a child may resemble carcinoma, PLATE \ ^ \ in an old Ko^uau. ; c1 loyn a (.K\ (u*nI in t ;i|lia ma. CARCINOMA. 643 the tender age of the patient entirely shuts out the probability of situation of the tumor is not less important. Xot only are certain situa-tions much more liable than others, but some situations, as the bones andmuscles, are impossible to primary carcinoma. The sex of the patient oftenaffects the diagnosis, in the case of squamous-celled carcinoma of the lip ortongue for instance. These and other similar ])oints will therefore always betaken into the account, in addition to the local characters of the disease. Prognosis.—The prognosis of carcinoma is invariably bad, for the naturalprogress is in every case toward death. But there is the widest diversity,Doth in the duration and in the course of the disease. There is great diversitynot only between the carcinomas of di
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