[Illustration: FIG. 101.--Paraffin Epithelioma.]
#Epithelioma# occurs in a variety of forms. When originating in a small
ulcer or wart-for example on the face in old people--it presents the
features of a chronic indurated ulcer. A more exuberant and rapidly
growing form of epithelial cancer, described by Hutchinson as the
_crateriform ulcer_, commences on the face as a small red pimple which
rapidly develops into an elevated mass shaped like a bee-hive, and
breaks down in the centre. Epithelioma may develop anywhere on the body
in relation to long-standing ulcers, especially that resulting from a
burn or from lupus; this form usually presents an exuberant outgrowth of
epidermis not unlike a cauliflower. An interesting example of
epithelioma has been described by Neve of Kashmir. The natives in that
province are in the habit of carrying a fire-basket suspended from the
waist, which often burns the skin and causes a chronic ulcer, and many
of these ulcers become the seat of epithelioma, due, in Neve's opinion,
to the actual contact of the sooty pan with the skin.
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