89 
early, small, and an old, large caseous area is to be found, 
nor is there any evidence of a young bud or extension. 
n 
our. On careful examination small, pale-yellowish, caseous 
areas are seen scattered throughout. ese are much smaller, 
paler, and softer than the areas seen in older lesions, and are 
enucleated with difficulty. 
ppearances of the lesion removed fro: ta- 
carpal region of the case mentioned above vary somewhat from 
th ound in lesions from the penis and s h. Beneath 
Tue. Th on | 
and in the skin of the lower lid and palpebral portion of the 
conjunctiva. 
„Microscopic examination.—The microscopic picture is 
typical, but varies with the age of the lesion. In the older 
p 
ges, anastomising processes dipping deeply into the cutis 
[Ha The rete cip ali at thia ae is usually slightly 
ted with eosinophile leucocytes. The epithelium cover- 
ing the tumour in the other situations sometimes shows gh 
 afpertrophic changes, but it is otherwise normal in appear- 
m6. The cutis vera is normal in these situations, except for 
