Czerny observed a case in which the tumor involved
the lumbar plexus. Quoted by Senn, Campbell de Morgan met with a
plexiform neuroma of the musculo-spiral nerve and its branches.
The patient was a young lady, and the tumor, which was not
painful, had undergone myxomatous degeneration.
Neuroma of the vulva is a pathologic curiosity. Simpson reports a
case in which the tumor was a painful nodule situated near the
urinary meatus. Kennedy mentions an instance in which the tumor
appeared as extremely tender tubercles.
Tietze describes a woman of twenty-seven who exhibited a marked
type of plexiform neurofibroma. The growth was simply excised and
recovery was promptly effected.
Carcinomatous growths, if left to themselves, make formidable
devastations of the parts which they affect. Warren pictures a
case of noli-me-tangere, a destructive type of epithelial
carcinoma. The patient suffered no enlargement of the lymphatic
glands. The same absence of glandular involvement was observed in
another individual, in whom there was extensive ulceration. The
disease had in this case originated in the scar of a gunshot
wound received during the Civil War, and had destroyed the side
of the nose, the eye, the ear, the cheek, including the
corresponding half of the upper and lower lips.
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