The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . bodyof the organ except as a secondary deposit. Diagnosis.—Epithelioma of the penis requiresto be diagnosed from fungoid ivarts. Tliis mayusually be done readily enough, by comparing theindurated state of the malignant with the soft and lax condition of thenon-malignant affection. From chancrous induration of the glans, thehistory of the case and the way in which it is influenced by treatmentwill enable the Surgeon toeflfect tiie diagnosis of scirrhus. In induratedplastic effusions into the corpu
The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . bodyof the organ except as a secondary deposit. Diagnosis.—Epithelioma of the penis requiresto be diagnosed from fungoid ivarts. Tliis mayusually be done readily enough, by comparing theindurated state of the malignant with the soft and lax condition of thenon-malignant affection. From chancrous induration of the glans, thehistory of the case and the way in which it is influenced by treatmentwill enable the Surgeon toeflfect tiie diagnosis of scirrhus. In induratedplastic effusions into the corpus spongiosum, no pain is experienced,and the disease remains in a stationary condition. Treatment The treatment of cancer of the penis will vary according to the nature and extent of the malignant affection. In the Epithelial form of the disease the Surgeon may, if he see thecase early, whilst the morbid growth is small and limited to the prepuce,content himself with dissecting ofi the affected patch. Should tiie epi-thelioma, however, have attained a large size (Fig. 836) and more par- .C ^. S36.—Epitheliomathe Penis. 896 DISEASES OF THE PENIS AND SCROTUM. ticularl} if it have implicated tlie glans, then amputation of the organis indicated. The treatment of Cancer of the penis must be conducted on theprinciples that guide us in the management of malignant affectionswherever situated; viz., to remove the diseased organ at as early astage as possible, whilst the affection is localised, before the glands areimplicated and the constitution poisoned. In the penis, this may readilybe done by an operation that is simple in its execution and nearly de-void of danger. In many cases a return may take place, and thatspeedily, either in the part itself or in the neighboring lymphaticglands ; yet, even if this occur, it is clearly the duty of the Surgeon torid the patient of a loathsome disease, and to put him in a state ofcomparative comfort for some time; the more so, as there is rea
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