. Clinical gyncology, medical and surgical. s well to bear in mind the different tumorswhich develop at the level of the rectum or in its vicinity. Polypi aresmooth and pedunculated, and are implanted upon the unaltered mucoussurface. A cicatricial stricture is regular, more circumscribed, and neverpresents the extensive induration and large vegetations so frequent in epi-thelioma. In some cases it is difficult to distinguish scirrhous from fibrousstrictures, and it is only from the progress of the case that one can decidethe diagnosis. Hemorrhoids cannot be readily confounded with epithelioma


. Clinical gyncology, medical and surgical. s well to bear in mind the different tumorswhich develop at the level of the rectum or in its vicinity. Polypi aresmooth and pedunculated, and are implanted upon the unaltered mucoussurface. A cicatricial stricture is regular, more circumscribed, and neverpresents the extensive induration and large vegetations so frequent in epi-thelioma. In some cases it is difficult to distinguish scirrhous from fibrousstrictures, and it is only from the progress of the case that one can decidethe diagnosis. Hemorrhoids cannot be readily confounded with epithelioma ;they are small capillary tumors, smooth, rounded, circumscribed, and evenwhen they are the seat of ulceration, the ulcerations are small. 1rognosis.—The prognosis is always extremely grave, and the relief,even after the most radical treatment, is generally only temporary. Treatment.—The treatment varies according to the indications. If thedisease is rapid, the general state bad, and there are signs of metastasis, it Fig. 22. Fio.


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