course, immediately
evident. Usually these swellings are slow in forming, so that the size
of the enlargement depends entirely upon its age. We may thus meet with
growths of this description, varying in weight from 4 or 5 pounds to
the almost incredible size of 33-1/2 pounds. In the majority of cases a
discharging sore is to be found upon it--in some cases several. Explored,
these sores reveal their true nature. Their lip-like openings, and the
ready manner in which they may be searched by the probe, show them to be
sinuses.
In a few cases, however, the outer surface of these tumours is intact. When
this is the case, it is possible that the growth is a true fibroma--that is
to say, a non-inflammatory new growth of fibrous connective tissue. On the
other hand, it may have resulted from one or other of the causes we have
enumerated, and its exact diagnosis have been impossible until operative
measures had been proceeded with. In this case, small and encysted foci of
inspissated pus scattered more or less throughout the growth indicate its
true nature.
Pain as a rule is absent, and, unless the growth, on account of its size,
interferes with progress, the animal walks perfectly sound. Here the
patient may, without offending the dictates of humanity, be put to slow
work.
_Treatment_.--In very many cases, possibly on account of the decreased
circulation and vitality of the parts, these growths occur in aged animals.
Here treatment is not economic, and may for that reason be put out of the
question. Further, the growths are more common in heavy cart animals of a
lymphatic type than in those of a lighter breed. Couple this with the fact
that the tumour is often unattended with pain, and we see that the animal
is still able to perform his accustomed labour. Here, again, treatment is
contra-indicated.
For still another reason surgical treatment, which is the only treatment
likely to be of benefit, must not be undertaken rashly. A large and open
wound is bound to be left behind. So large is it in many cases that the
complete covering of the exposed surface with epidermal growths from the
circumference cannot possibly be looked for. There is then left a large and
horny-looking scar, which is an even worse eyesore than was the original
enlargement.
When the patient is a young and otherwise valuable animal, however, and
when the case, judged either by the size of the swelling or its outside
appearance, promises a fair mea
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