Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


[Illustration: FIG. 41.--Ulceration of nineteen year's duration
in a woman aet. 24, the subject of inherited syphilis, showing active
ulceration, cicatricial contraction, and sabre-blade deformity of
tibiae.]


_Tertiary lesions of mucous membrane and of the submucous cellular
tissue_ are met with chiefly in the tongue, nose, throat, larynx, and
rectum. They originate as gummata or as gummatous infiltrations, which
are liable to break down and lead to the formation of ulcers which may
prove locally destructive, and, in such situations as the larynx, even
dangerous to life. In the tongue the tertiary ulcer may prove the
starting-point of cancer; and in the larynx or rectum the healing of the
ulcer may lead to cicatricial stenosis.

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