‘FUNGUS. 
mediately rethoved ;. if not, the furgeon might be content 
. with ‘putting in practice oe ‘meafures the particular 
natute of the cafe fhould requi 
.'There are a few c rcumiance which are _ manifeft 
after the (iesons acu Firft, that if an attempt be 
x cu the en and fave the limb, the nen 
muft take care to remove at the fame time a confiderable 
" quantity of the foft parts in the circumference of the {welling. 
Secondly, that after the tumour is taken out, a careful 
_ examination of. the _ - the wound fhould be made, 
and every fufpicious par re cut away. Thirdly, 
es fhould-the difeafe, rotten ng fuch c 
utation fho eet e performed — delay. 
the “4 cauftics fhould ( never = mployed’ in 
;Laftly, that as se invifible oe and vifcera are often 
_-difeafed at the time when the operation is done, the fur- 
ofs ie “reputation would be the 
safeque ences me Hie 
The e en is liable to the prea hematodes, and the 
affection was firft defcribed by Dr. Baillie, in his Morbid 
under the name of the uly teRicle. Mr. Aber- 
, has ‘given an account 
re emarkable 
t is 
anu 
oC) 
“t 
co 
Bg 
rt) 
ca 
wp oO 
mes 
9 
fo) 
a vs 
o 
a 3 
ae 
- inftance, in which the foregoing ‘ 
tuppofed, that ‘the medullary farcoma r. Abernethy 
is, In reality, t e fame as the fungus hoe of Hey, 
Wardrop, and oth ver writers. ‘The cafe to which we hay ve 
alluded. being very illuftrative of the nature cf this difeafe 
in the tetticle, we conceive po the reader will not regret 
its Anicrien 1 in the prefent article. 
‘A. tall, thin, Seen man, of about forty 
vyears of age, had, about fifteen years before, a {welled 
eeoe was vomployed 
e part, however, was 
rt e. i »h into St. Bar- 
silence” lee under thecare of Mr. Long. a 
eltis was, at t 
arge orange; and, when 
“6 They Silly increafed in fize for feveral months, till 
at laft the. fkin os as - hee to contain t 
longer. - It bec ee 
vain, to 
fecare them by ligatures.; for the fubftance of the tumour 
‘not claim this gene fince, how 
ery 
obferved plead te: ined atumour of very. uncommon 
fhape and magnitude. ; 
ees them. 
was cut through, and torn’ away in the attempt. - Preffure 
by the finger, eee d for ree time, was the only effec 
tual mode of reitraining this hemorrhage. 
“ The lofs of one peed relieved the diftended fkin, wick 
had only. ulcerated on the moft prominent part 
tumour, and Wad not become difea a It no 
oak being atten ed by the ec alanes juft recited, 
bt befo e the flcin was Cicatrize 
ight 
oH this exenpls, the: Aiea yc to- many part 
befides the teftis. ‘The tumour, form ape a real 
lands on each fide, w was apse s ead, an 
ilar i to ae difeated telticle. The pelvis 
filled with fimilarly difeafed glands, and the 
rete were hidden by others ashigh up as the diaphragm. 
Some of them ae oo being cut into, difcharged- ‘a thick fluid 
eelenbing cn 
Fungus sade of the tefticle is faid to begin, foes 
times in the body of that organ, fometimes in ‘the a 
dymis. ‘The progrefs of the difeafe is flow, and the 
-attending it is, in general, not great enough to excite ae ™m. 
Nor is there, at firft, any aaa or hardnefs in’ the 
gland, nor change in the fero m.° When the tefticle has 
become exceedingly: large ar feels Sambal foft and 
if i a fluid. 
al pana of the tefticle ittelé, 
a fi Bots beet extends up the fpermatic 
oa. rop, p 
It appears that the foe heematodes i in the tefticle does 
mour may be, it emits no fungous ae wt {ceffes 
form, and ad integument of the fcrotum burft 3 but no 
Bh 
tells is ee vd to be more nly affected with the 
me in young, than old per 
On diffe€tion, the fubftance ee the difeafed tefticle is 
found to prefent a medullary, or pulpy os ala gene- 
rally of a pale brownifh: colour, but fometim s of a red. 
metimes there is a fluid 
See Warren, 13I—13 
With regard to the treatrnent, we have nothin ng to re-- 
commend, except caftration, which, unlefs performed at: an 
ctl period before the ies e extends up the cord, and 
e lymphatic glands, be unavailing. 
allo, that the little alarm ‘excited at firft, : 
S afcertaining the earl ( 
ways be ftrong reafons w 
ae or willing, to fubmit to a timely operations 
reful 
