CHAP. XXIX. Of the cure of an ulcerated Cancer.
AN Vlcerated Cancer hath many signes common with that which is not * 1.1 ulcerated, as the roundnesse of the tumor, the inequality, roughnesse, and paine; to the judgement of the eye, the tumour seemes soft, but it is hard to the touch; the Vlcer is filthy, with lips thicke, swolne, hard, knotty, turned out, and standing up, having a horrid aspect, and casting forth ichorous, fil∣thy, and carionlike filth, sometimes blacke, sometimes mixed with rotten filth, and otherwhiles with much bloud. This kinde of ulcer is maligne, rebellious, and untra∣ctable, as that which contemnes milde remedies, and becomes more fierce, by acride and strong; the paine, feaver, and all the symptomes being encreased, from whence the powers are dejected, the wasting and consumption of the body followes, and lastly death. Yet if it be small, and in a part which may suffer amputation, the body * 1.2 being first purged, and bloud drawne, the strength of the Patient not disswading, it will be convenient to use the hand, and to take hold of, and cut away whatsoever is corrupt, even to the quicke, that no feare of contagion may remaine, or be left be∣hind. The amputation finished, the bloud must not be presētly stopped, but permitted to flow out in some measure, yea verily pressed forth all about it, that so the veines swollne with blacke and melancholicke bloud may be disburdened. When you have * 1.3 taken a sufficient quantity of bloud, the place must be scared with an actuall cautery. For that will strengthen the part affected, draw forth the venenate quality, and also stay the defluxion. Then must you apply mitiga•…•… medicines, & procure the falling away of the Eschar. To conclude, that which rem•…•… must be performed according to the cure of other ulcers. Now we know and •…•…stand that all the Cancer is cut a∣way, * 1.4 and all the malignity thereof extinct, when •…•…lcer casts forth laudable mat∣ter, when that good flesh begins to grow•…•… little •…•…ittle, like to the graines of a Pomeganate, the pricking paine, and •…•…e symptomes being asswaged. Yet the cure of an ulcerated Cancer, which shall possesse the lips may be more happily and mildly performed, no causticke medicine being applied after section, so also that scarse any deformity will be left, when it is cicatrized. Which new and never formerly tried, or written of way, as farre as I know, I found and performed in a man of fifty yeares old. Doctor Iohn Altine, a most learned Physition being called to Counsell, Iames Guillemea•…•…, and Master Eustachius, the Kings Chirurgions, and Iohn Le Ieune the Duke of Guise his most worthy Chirurgion being present.
The way is this; The Cancer must be thrust through the lips on both sides, above * 1.5 and below with a needle and threed, that so you may rule and governe the Cancer with your left hand, by the benefit of the threed (least any portion thereof should scape the instrument in cutting) and then with your Sizers in the right hand, you •…•…ut it off all at once, yet it must be so done, that some substance of the inner •…•…the lippe, which is next to the teeth, may remaine, (if so be that the Cancer be