File:American practice of surgery; a complete system of the science and art of surgery (1906) (14584447237).jpg

Identifier: americanpractic02brya (find matches)
Title: American practice of surgery ; a complete system of the science and art of surgery
Year: 1906 (1900s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914, ed Buck, Albert H. (Albert Henry), 1842-1922
Subjects: Surgery
Publisher: New York, W. Wood and company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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and theircontents squeezed out (Fordyce). Ciu-etting, excision or scarification, elec-trolysis and cauterization have been successfully employed to remove theselesions. The operator must decide for himself which of these means he willuse in a particular case. ADENOMA OF THE SEBACEOUS GLANDS. These little tumors appear usually in groups in and around the naso-labialfolds and on the sides of the nose; less frequehtly they may be scattered overthe forehead and other parts of the face and on the scalp. As a rule, they are 350 AMERICAN PRACTICE OF SURGERY. arranged in symmetrical order, but not necessarily so. They appear as pin-head- to pea-sized papules which sometimes are of the same color as the sur-rounding skin, but more often are of a more or less marked redness due to tel-angiectases. They may also be of a brownish hue, or waxy in appearance. The persons who have this disease very often show also defective mentaldevelopment. Females seem to be subject to it more than males, and the
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Fig. 47.—Adenoma Sebaceum (Najvus Sebaceus). (After Rau, in Xeisser.s Stereoscopischer- medicinischer Atlas.) unsanitary more than those living in more healthy surroundings. In regardto its nature it is undoubtedly a ncevus. It is congential or occurs while thegrowth of the body is progressmg. It is associated with, and m part madeup of, telangiectases. It is also associated with fibromata mollusca that mayform in rows clown the front of the neck. The little rounded papules andagglomerations of tissue, when not telangiectatic, are waxy or buff-colored, orbrown, as is often seen in moles and other ngevi (Fig. 47). SURGERY OF DISEASES OF THE SKIN. 351 Diagnosis.—The telangiectatic, convex appearance of the papules, theirlocation in the naso-labial folds, and their long standing will differentiate thedisease from acne rosacea. Epithelioma adenoides cysticum appears later inlife than adenoma sebaceum; colloid milium is located chiefly upon the upperpart of the face, while the location

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