. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. ace. The lymphatic glands in the submaxillaryand occipital regions were hard and movable. Car-cinoma of the tongue differs from this in its irregularsurface, from which epithelial plugs can be expressed,and in the glandular affection occurring later. As already mentioned, syphilitic contagion maytake place through intermediate objects. Vo7i Berg-mann has observed a case in which contagion wasdue to smoking the fag end of a cigarette thrownaway by a syphilitic person. 311 GUMMA LmCUiE—
. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. ace. The lymphatic glands in the submaxillaryand occipital regions were hard and movable. Car-cinoma of the tongue differs from this in its irregularsurface, from which epithelial plugs can be expressed,and in the glandular affection occurring later. As already mentioned, syphilitic contagion maytake place through intermediate objects. Vo7i Berg-mann has observed a case in which contagion wasdue to smoking the fag end of a cigarette thrownaway by a syphilitic person. 311 GUMMA LmCUiE—LINGUA BIFIDA {Gumma of the tongue)Plate XCIV, Fig. 119. Gumma of the tongue is usually situated in thecenter of the tongue, while carcinoma generallyaffects the posterior part of the side of the tongue(Fig. 9). A breaking-down gumma may divide thetongue into two parts (bifid tongue). The figureshows a broken-down gumma with its characteristictenacious, yellowish-brown deposit. Syphilitic infec-tion was denied in this case, but it was cured byantisyphilitic treatment. 312 Hockenheinicr, Atlas. Tab. OSS IDOenXi <
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