A system of surgery : pathological, diagnostic, therapeutic, and operative . stals, granules, oil-drops,and old, degenerated cells are often found inthe same specimen under the fiekl of the mi-croscope. The various forms of cell-formationare well shown in fig. 49, from a drawing byDr. Da Costa. The progress of this disease is generallymore slow than that of the other heteromor-phous deposits, both as it respects its tendencyto ulceration and the destruction of life. It is seldom that a scirrhous tumor ofthe breast becomes an open sore under twelve, fifteen, or eighteen months; notunfrequently,
A system of surgery : pathological, diagnostic, therapeutic, and operative . stals, granules, oil-drops,and old, degenerated cells are often found inthe same specimen under the fiekl of the mi-croscope. The various forms of cell-formationare well shown in fig. 49, from a drawing byDr. Da Costa. The progress of this disease is generallymore slow than that of the other heteromor-phous deposits, both as it respects its tendencyto ulceration and the destruction of life. It is seldom that a scirrhous tumor ofthe breast becomes an open sore under twelve, fifteen, or eighteen months; notunfrequently, indeed, several years elapse before it takes on this kind of 1851, I had at my Clinic an elderly lady, formerly a patient of Sir AstleyCooper, in whom the disease had existecl for more than twenty years before anydisposition to ulceration became apparent. Several other cases, somewhat lessin their duration, have been under my observation. In general, however, thetendency to ulceration shows itself within the second year, commencing usually VOL. I.—16 Fig. Cells of scirrhus. 242 TUMOES, OR MORBID GROWTHS. chap. vii. in a superficial portion of the tumor, sometimes at one, and at other times atseveral points, the process being preceded and accompanied by more or less dis-coloration of the surface, and by the adhesion of the skin to the subjacent color is always dark, purple, or livid, the vessels immediately concerned inits production being enlarged and deeply congested, frequently presenting anappearance as if they were inlaid in the cutaneous tissues. The part at lengthgiving way, an unsightly ulcer is exposed, having hard, steep, and rounded edges,and a foul-looking bottom, generally incrusted with spoiled lymph. The dischargeis always sanious, ichorous, or sanguinolent, more or less fetid, initating, andoften remarkably profuse. It tarnishes silver, imparts a green color to syrup ofviolets, and, on admixture with sulphuric acid, evolves a peculiar
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