Quotation from: Manual of SurgeryWritten by: Alexander Miles and Alexis Thomson |
|
The life-history of an untreated gumma varies with its environment. When protected from injury and irritation in the substance of an internal organ such as the liver, it may become encapsulated by fibrous tissue, and persist in this condition for an indefinite period, or it may be absorbed and leave in its place a fibrous cicatrix. In the interior of a long bone it may replace the rigid framework of the shaft to such an extent as to lead to pathological fracture. If it is near the surface of the body--as, for example, in the subcutaneous or submucous cellular tissue, or in the periosteum of a superficial bone, such as the palate, the skull, or the tibia--the tissue of which it is composed is apt to undergo necrosis, in which the overlying skin or mucous membrane frequently participates, the result being an ulcer--the tertiary syphilitic ulcer (Figs. 40 and 41).
|
| PREVIOUS GROUP HOME SITE HOME NEXT |
| Part of the RabbitHoleResearch Project Change Tag: ~~ 0 ~~ |