The practice of surgery . of the patient. Neglect and too much rubbing make mattersworse, so that blisters and ulcerations even, with possible gangrene,may result. Treat the disorder by general tonics, by protecting the exposedparts with proper clothing, by exercise, and locally by immersing theaffected region in hot saturated solution of alum. In mild cases balsamof Peru or 10 per cent, ichthyol ointment may be rubbed in twice a day. 816 MINOR SI RGERY—DISEASES OF STRUCTURE Keloid is a coniioctivo-tissue overgrowth in the corium. Some-times it arises spontaneously; more often it is a result o
The practice of surgery . of the patient. Neglect and too much rubbing make mattersworse, so that blisters and ulcerations even, with possible gangrene,may result. Treat the disorder by general tonics, by protecting the exposedparts with proper clothing, by exercise, and locally by immersing theaffected region in hot saturated solution of alum. In mild cases balsamof Peru or 10 per cent, ichthyol ointment may be rubbed in twice a day. 816 MINOR SI RGERY—DISEASES OF STRUCTURE Keloid is a coniioctivo-tissue overgrowth in the corium. Some-times it arises spontaneously; more often it is a result of call the spontaneous keloid true keloid, and that resulting frominjury false keloid. These growths look like greatly thickened especially are subject to false keloids, which may appear any-where in the body. The true keloid is seen most commonly over thesternum. The growth is situated in the central and lower portions of thecutis. It begins on the walls of the larger vessels, and when fuUv. Fig. 508.—Extensive keloid of face (Massachusetts General Hospital). developed, is composed of dense bundles of fibrous tissue which aremostly arranged parallel with the long axis of the tumor. The patient usually complains of nothing except the deformity,though occasionally there may be slight pain, while rarely the keloidundergoes malignant degeneration. The treatment of keloid is far from satisfactory. The obvious measureis to excise the tumor with a wide margin, in the hope of replacing itby a narrow linear scar. Unfortunately, in many cases a new keloidappears at the site of the new scar. I have seen some excellent resultr;follow the long-continued use of the a^-rays after excision of the growth. Every hospital has on its list of chronic patients some of thesecases of keloid,—patients who return year after year to have their .SURGERY OF THE SKIM 817 deformities iniprovod if possible,—upon wiioiu the surgeon comes tolook with ever-increasin dismay. M
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
