V22 MALIGNANT TUM0UE8. 



TREATMENT— Remove the tumour with the knife or other 

 suitable means; and, as described for scirrhous cord and actino' 

 mycosis, treat locally with an antiseptic, and generally with iodide 

 of potassium. 



Scirrhous Cord 



is a swollen and hardened condition of the spermatic cord from 

 which the testicle has been removed. 



The microbes of botryomycosis are often met with in scirrhous 

 cord, and are probably the cause of the sinuses and suppuration of 

 bad cases of this disease, but they are not its producers. Leblanc 

 (C'adeac's " Ency. Veter.") points out that these parasites are never 

 found in a recently formed scirrhous cord which has not a sinus. 



SYMPTOMS OF SCIRRHOUS CORD.— In this disease, a mush- 

 room-like (hence its French name, cha?npig7ion) swelling forms at 

 the end of the divided cord, and thus gives the tumour the appear- 

 ance of growing from a stalk or pedicle. Or the swelling, beginning 

 at the end of a cut cord, may extend upwards in the substance of 

 the cord, assuming more or less the shape of an elongated cone. 

 In the former case, it may remain outside the scrotum, and may 

 hang down to a considerable extent, even as low as the hocks, as 

 observed by H. Bouley. In the latter, it may go as high as the 

 inguinal canal, or even into the abdomen. The affected part of the 

 cord becomes hard and greatly swollen, even to the size of a man's 

 fist, or to the thickness of his arm. In well-developed cases, one 

 or more sinuses form at the end of the tumour, and discharge thick 

 curdy pus. Tiie scrotum always becomes closely adherent to the 

 tumour, which in some instances may be seen in a cup-like depres- 

 sion made by the skin round the edges of the wound. The invaded 

 23ortion of the cord becomes filled with blood-vessels from that 

 part of the scrotum to which it is adherent, and consequently 

 becomes more or less red. Owing to the presence of the tumour, 

 which may be single or double (affecting o'ne or both cords), the 

 movements of the hind limbs, especially those of the affected side, 

 become more or less impeded. The pain, inconvenience, and dis- 

 charge may give rise to fever and loss of condition. By passing 

 the hand into the rectum, we may find out by the state of the cord, 

 whether or not the tumour has extended into the abdomen. 



PROGRESS OF SCIRRHOUS CORD.— I venture to think that 

 in the progress of this disease there are two well-marked stages, 

 namely (1) adherence of the scrotum to the end of the divided cord, 

 and (2) suppuration in the tumour. The former stage may continue 

 for years without merging into the latter. On the other hand, I 



