Diseases of the nose and throat; a text-book for students and practitioners . no actual hypertrophyof the glands at the angle of the jaw, there is usually tendernessin that region. The tonsil itself does not always seem muchenlarged, as infiltration of the surrounding structures may con-ceal it. The mass usually imparts to the finger, as expressedby McBride (Diseases of the Throat, Nose, and Ear), thecharacteristic fixed, indurated feeling of malignant of bodily flesh and strength is rapid and progressive. Sarcomata are usually dusky red, with extensive areolae;epitheliomata usual
Diseases of the nose and throat; a text-book for students and practitioners . no actual hypertrophyof the glands at the angle of the jaw, there is usually tendernessin that region. The tonsil itself does not always seem muchenlarged, as infiltration of the surrounding structures may con-ceal it. The mass usually imparts to the finger, as expressedby McBride (Diseases of the Throat, Nose, and Ear), thecharacteristic fixed, indurated feeling of malignant of bodily flesh and strength is rapid and progressive. Sarcomata are usually dusky red, with extensive areolae;epitheliomata usually appear as paler, warty excrescences, orcauliflower growths. CANCER OF THE TONSILS AND PALATE. 259 Diagnosis. — Cancer of the tonsil, though it simulatesyphilitic ulceration of this organ, is usually easy to pain of the former is often constant, usually lancinating,and may prevent deglutition ; but the pain of syphilis is generallyslight, rather a soreness, except during deglutition, which issometimes very difficult and painful, but rarely impossible. The. < /, \i Wm^!:. Fig. 6(j.—Pkimaky Epithelio^ia of the Right Tonsil.(Fium a photograph kindly taken by Dr. N. W. Fryer.) glandular involvement of cancer is quite extensive and tender-ness is marked ; whereas syphilis has usually less glandularenlargement, except post-cervically, and the glands are lesstender. The ulcer of cancer has a very broad areola ; that ofsyphilis rarely more than one-third of an inch ; and the formeraffection has fre([uent, often profuse, luemorrhages ; tlie latter 260 DISEASES OF THE NOSE AND THROAT. rarely bleeds. The general emaciation of cancer is out of pro-portion to the decline in appetite; that of syphilis follows thisdecline. Prognosis. — The prognosis is grave in tonsillar cancer,unless the gland be excised early. Haemorrhage often givestemporary relief. Death may occur in two or three months,or only after as many years; it is often sudden when due tohaemorrhage or to oe
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