Treatment.Local treatment by cans . anl other "specifics" but com T the ult.mate issue. Surgical val resorted to early affords the -:..nt exc.-Rent chances of recovery. (0 c.i..L.cers, that of the lip has shown tendency to recur.
A ..r.inon a of the lip in an individual 1.1,y i- ordinarily, as Broca shows, .c ..,ivnant than a cancer of the - 1.1 alignant than a cancer I t.,n4..e. The further inward on (Tice. dal -.1-rface the growth begins, . t.INI'gnant it is, as a rule.
- er fir-t appear as a i .larl edges. which deeline.s to - developing ulcer with ; 1:_N Wi ich refu-es to cicatrize;a la, I rapule in the mucous mem w hi .1. does not uleerate for a con tirre; or as an eczematous irface. which weeps and crusts, -n1 is ered with papillomatous pro The first three forms spread deeply under the epithelium and involve the muscle of the lip comparatively early; the last-mentioned form is super ficial and does not involve the muscle until late. The first three forms are more malignant than the last form, al though the papule may remain inactive or latent for a considerable length of time. The sooner the muscle of the lip is involved, the more malignant is the growth.
ln whatever form cancer starts, 0'01 if it is not ulcerated from the beginning, it sooner or later ulcerates, and the char acteristic epitheliomatous ulcer forms.
In its earliest stages this ulcer is apt to be concealed by a crust; and, if the crust is picked off, the raw surface is exposed. The discharge of an epitheliomatous nicer is thin, reddish sero-pus, which is irritating to the surrounding healthy skin and mucous membrane.
The only proper treatment for cancer of the lip is radical extirpation at the earliest possible moment, associated with removal of the ana.tomically related lym phatic glands. J. C. Da CoAa (Therap. Oaz.. Feb. 15, 1901).
Miscellaneous Growths.
I3esides the yarieties of neoplasms enumerated and which do not depart, in the physical phenomena, from similar neoplasms observed elsewhere in the organism, x..Evi are sometimes wit nessed in this location. But, as a rule, they are small and may generally be re moved by ignipuncture, a fine galyano cautery-knife being -used. or by elec trolysis. The latter is slower, however. Dissection, as if the 2-rowth were a -ma lignant one, is sometimes necessary.
For deformities of lips and mouth, see PLASTIC SURGERY.