November 5, 1887


JAMA. 1887;IX(19):592-594. doi:10.1001/jama.1887.02400180016002

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Surgical Tuberculosis.  — (See the preceding number of The Journal.) After treating of "Tuberculosis of the Skin, and Connective Tissue" Volkmann takes up: II. Tuberculous Affections of Mucous Membranes accessible to the Surgeon.7. Tuberculosis of the Tongue appears partly in the form of ulcerations of a sometimes torpid, sometimes more fungous character; and sometimes in the form of deep-reaching knots (Knoten) which gradually soften at the centre. Solitary tuberculous ulcers of the tongue, with fungous growths and somewhat indurated surrounding, may be easily mistaken for carcinoma when the trouble appears in an elderly person. I have twice made that diagnostic mistake, and the error was only discovered by the microscope after extirpation of the diseased part. The subsequent history of these cases confirmed the microscopic diagnosis. The knotty (or nodular, knotige) form of tuberculosis of the tongue, on the other hand, is at the beginning hardly to be distinguished

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