Diseases of the nose and throat . Fig. [34. Destruction of Vocal Hands by Late Syphilitic Ulceration.(Schnitzler. 1 cicatricial tissue. Usually a gummy tumor develops rather rapidlyand presents as a symmetrical painless tumefaction covered by nor-mal mucous membrane. It may be impossible, especially in theabsence of a positive specific history, to differentiate the conditionfrom a malignant neoplasm without resort to a test with antisyphilitictreatment. The importance of recognizing a gummy tumor beforethe process of disintegration has begun must be obvious. Whenulceration is established we ha
Diseases of the nose and throat . Fig. [34. Destruction of Vocal Hands by Late Syphilitic Ulceration.(Schnitzler. 1 cicatricial tissue. Usually a gummy tumor develops rather rapidlyand presents as a symmetrical painless tumefaction covered by nor-mal mucous membrane. It may be impossible, especially in theabsence of a positive specific history, to differentiate the conditionfrom a malignant neoplasm without resort to a test with antisyphilitictreatment. The importance of recognizing a gummy tumor beforethe process of disintegration has begun must be obvious. Whenulceration is established we have to look forward to the deformityfrom distorting scars which always follows repair of a syphilitic prognosis in tertiary syphilis should be guarded. The patientmay be in danger from edema implanted upon a more or less exten-sive infiltration, or from hemorrhage due to invasion of a blood-vessel by an ulcerative process. SYPHILIS OF THE LARYNX. 389 The treatment should be active and in accordance with the methodof trea
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Keywords: ., bo, bookcentury1900, bookdecade1900, booksubjectnose, bookyear1903
