- FUNGUS. 
=e After ulceration has ae ace, a hé peace 
glands fwell, and put on ance the {pongy qualities of the 
primary tumour.. Ff the t fill furvive this advanced 2 
rath 
of the diftemper, ie ue form in other parts 
of the hody, and the patient dies he€tic. (Differtations on 
ay eet vol. if. p. 303. 
Accordiag to a late practical writer, when 
limited. to the pr ae cellular membrane, which covers 
the mufcles, the tumour is not ufually painful in the begin- 
ning, nor does a impede the motion of the mui{cles on which 
it is feated. 
the difeafe is 
a 
The. fungus, alfo, it increafes in bulk, 
es not render the ag Saale niformi thin, as in the 
as of an abfcefs. In one part the tumour, when prefled 
with the hands, will afford the fen tation of a — 
fluid, while ar-stlies eal will feel hard and uneven. 
Hey = vs a ie from Mr. ae ine flating ee the 
fkin doe niformly tk of a re 
as ens pur i ee cies is makin ic ite. ane to the ree of 
the body ; but, on the contrary, that the integuments con- 
tinue to “feel as thick as ufual round the fungus, whieh pro- 
trudes pac them. (Praétical Obfervations in Surgery, 
283, 284). 
ngus hematodes is feen on the extremities in fubje€ts 0 
every age, although, as we have already explained, the fame 
affection of the ere is commonly met. with in childrem 
under the age of twelve: 
Sometimes the tumour has fucceeded fome external vio 
lence, and confequently, at firlt, has sot petty  diinguithable 
from the common {welling “a a va at 
It is:the mature of the to grow in in ie commence- 
flow degrees ; be as an opening is: made, 
the fungus generally thoots rs ear aftonithing quicknefs. 
The tumour, before ulceration occurs, often prefents fo 
deceitful a fea of fluctuation as to induce very experienced 
i t the cafe is a colleétion of saa an 
e apun i lancet i neces 
img fhould loan be eile avoided, fince it never fails to 
aggravate the difeafe, and accelerate the patient’s diffolu- 
ion. 
The ie which arifes on the extremities is generally: 
of a ro m, has an unequal rugged furface, oe coved 
blood is e Frequently {een adhering to 1 t is of a dark red 
colour, is eafily torn, and bleeds oa baie ae even ina 
gentle way. lis eck is commnonly very narrow, while the 
upper portion fpreads out very much, fo as completely to 
cover the edge of the ulcerated fkin 
n the fungus has attained a large fize, the moit pro- 
rainent pee s flough away, attended with an exceedingly 
foetid di bare and confiderable hemorrha: 
Sometimes the abforbent glands become " contaminated 
with the difeafe, - the {welling is yet fmall, in other 
cafes not till it ulcerat lands between the tumour 
e thole which are hablie to be 
and the aah cic dua 
affected, that, when the fungu us hematodes is. on. the 
lower ener » the glands in the groin, and. all th = in 
the courfe of the iliac veffels and aorta, are apt: to. be 
aie 
a fungus hematodes, aon on one e the limbs,. 
is eames after death or amput; , the tumour itfelf: i 
re to — of a “Toft fubfisace, pene like ‘the brain,. 
a greyifh colour and greafy a 
ee has ae ivifions. runnin 
abfceffes in different places, containing a thin bloody matter, 
sccafionally i in very confiderable quantity. There does not 
feem uniformly to be-an-entire cyft furrounding the tumour '# 
for the foveliing very. frequently d peti down the: 
a or oar to the 
adher The 
ae a 
always carious. see Burns on Inflammation,, vol. ii. 
305- 
“When the n ieag poarery the fungus pli divided, they 
are found to be in a morbid itate.. The adipofe- membrane’ 
sees a a acne - pouches, hiled a the fungus;. 
upon val o ich the poe if the patient be- 
alive, ei peel eae very part of their internal fur- 
ne. He ical Obfervations in Surgery, p. ana an 
a ae So when the extremities ie 
eat of the di flonpes ve spare glands in the courfe of 
abforption “are apt to difeafed, and not only thefe 
arts are iometimes found | in amo aha — but even the- 
brain, the kidney, the ake the breaft, and other vifcera,. 
i \ -d cafes es now indifputably 
bev may, 1f he pleafe, be convinced of this 
examples. which. 
3 
a) 
6 
+ 
ct 
| 
=e 
“3 
ee Be 
oa 
ec 
a 
fan 
at 
3. 
ae 
ee 
“5 
a 
8 ges peblication 
© fated, that Me B of row fa wrote’ 
- Token as a diting: a eee 
bass name: of fpougoid ee 
inflam 
ne complaint.. cc An 
a 
ois {cription,, 
a: peculiar fwelling of. the 
on ampu utation. 
publifhed in Monro’s 
which Mr. Pott 
On che fubject of the peahenae of fungus hematodes,. 
fituated on the extremities, we n not long - tain the- 
Tel hen he hears that no internal icin tr eX«. 
e n 
ternal application, feems to have the leaft power i: ‘checking 
this malignant difeafe, he will naturally turn his mind t to the 
plan of extirpation w irs ek knife. Mr. He 
ydrargyrus the antimo ria 
m, nor the undiluted vitriolic acd, has been “faficient fi for: 
aed purpofe, an nd furgeons may alga avs be certain, that 
n they irritate any . malignant difeafe by plans w hee 
fal in ae rata its extirpation, they inevitably: accele-- 
the oo of the morbid ravages, and: haften the: 
patient?s 
e fui oa ‘hematodes j is one of thofe oo one aad 
with which no wile furgeon will dare to; tam foon: 
s the nature of the cafe is afcertained,. the. ane of: the: 
difeafed fubfiance,. ae — in its vicinity, flould’be care- 
fully cut away.. a a th: i 
ftrictly executed, ane patie ill have as-much chance of: 
recovery,. as if the were amp It is our duty, 
however, to ftate,, that in all the cafes in which the tumour 
alone was. eles an 
ardrop eae that we: 
eon as- vale true nature of the ca 
a decifive none @: 
on prove to. be fungus. hamatodes, the limb. might be un-. 
mediately: 
