Duparcque mentions a case in which the chancre
was much larger than in either of my patients^
If the chancre is allowed to remain untreated, it
may heal spontaneously, or it may, according to
M. Duparcque, assume a chronic form, and remain
unchanged for months. Whes this occurs, the
state of sub-inflammation of the cervix, which the
chancre keeps up, is followed by general indura-
tion of that organ. This induration may be car-
ried to such an extent as to give rise to stony
hardness of the cervix, so as to simulate ulcerated
scirrhus. (See Case 14.)



INDURATION OF THE CERVIX UTERI. 101

The presence of a well-formed chancre might,
possibly, be appreciated by the toucher. The
excavation, with its indurated margin, would lead,
at all events, to the conclusion that an ulceration
existed, the nature of which the speculum would
partly reveal. The local and general symptoms
produced by a^chancre in the first period of its
formation are very obscure. Indeed, they may, at
first, be said scarcely to exist ; they are then, at
the most, confined to very slight hypogastric pain,
and to a scarcely perceptible mucoso-purulent
secretion. Should, however, the chancre increase
in size, and give rise to irritation, inflammation,
and induration of the cervix, then all the symp-
toms which we have already enumerated as the
result of these lesions manifest themselves —
viz., severe h3rpogastric and lumbar pains, sensa-
tion of weight and bearing down in the pelvis,
leucorrhcea, &c. The following cases will illus-
trate these varieties of chancre of the cervix.
102 INFLAMMATION, ULCERATION, AND



CASES ILLUSTRATIVE OF REAL CHANCRE
OF THE CERVIX UTERI.
CASE XIII.
Blennorrhagia. A chancre appears at the os ttteri
a fortnight after the commencement of treat-
ment — Cure.
