Syphilis / by V. Cornil ; translated, with notes and additions, by J. Henry C. Simes and J. William White.
- Victor André Cornil
- Date:
- 1882
Licence: Public Domain Mark
Credit: Syphilis / by V. Cornil ; translated, with notes and additions, by J. Henry C. Simes and J. William White. Source: Wellcome Collection.
Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.
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![The nature of these guramata is determined, not only by the pre- vious history of the patient, but also from the fact that they have not followed a gonorrhoea, and that they promptly disappear under spe- cific treatment. There has as yet been no histological examination of these tumors. They are supposed to consist of a gummous formation, an infiltration of the cellular tissue with small round cells. Since the presence of these tumors does not stop the secretion of the spermatic fluid, nor the ejaculation of this secretion containing normal spermatozoids, it has been concluded that they are situated in the peripheral connective tis- sue of the ducts of the epididymis, and not in the ducts themselves. [This form of epididymitis was first described by Dron, some twenty years ago. It may be recognized by its association with early syphi- litic symptoms, by its comparative indolence and painlessness, its situation in the globus major instead of the globus minor, and its rapid disappearance under constitutional treatment. It should not be confounded with the little fibromata which occa- sionally occur in this region. Bassereau, Rollet, Lancereaux, and Fournier have reported cases. It is very rare for the aS'ection to spread beyond the globus major, although in a few instances it has involved the whole epididymis. Hill has seen^ two cases in which it appeared at the first outbreak of the cutaneous symptoms, and before the primary sore had healed, but usually it occurs about three and a half months after infec- tion. In the later stages the epididymis is afiected only when the testicle itself is diseased. Greenfield reports^ one case in which at an autopsy a small gumma was found in the epididymis, but does not give any details. The case is presumably the only one of the sort thus far recorded.] Interstitial Orchitis.—Interstitial orchitis of the adult, in ac- quired syphilis, belongs, like gummous orchitis, to the period of the later tertiary lesions. It seldom occurs before the third year. It is uni- or bilateral. The testicle is the seat of an inflammatory thick- ening of all its connective tissue—a chronic interstitial inflammation. The epididymis is seldom aff'ected ; if it be involved, it is its head that is changed. At the beginning of intei'stitial orchitis, the gland is larger than [' Op. cit., p. 291.]](https://iiif.wellcomecollection.org/image/b2151852x_0418.jp2/full/800%2C/0/default.jpg)
