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Illustration from 'Atlas of Syphilis and the Venereal Diseases' (by Frank Mracek and Lemuel Bolton Bangs), 1898. Present Condition: Ulcer on the right labium majus. No other signs of a former or still existing syphilitic attack either on the skin, or in the glandular system. When the mouth is opened wide and the tongue well protruded a swelling is seen covering the entire posterior half of the left side. The tumor is raised 3 to 4 mm above the surrounding surface; it is hard to the touch and extends through the entire thickness of the organ from its base to about its middle. The surface of the tumor is traversed by an ulcer 3 cm long. From the middle of the tongue extending almost to the tip there is another tumor consisting of a number of nodular infiltrations showing necrotic decay in three places.. (Photo by VintageMedStock/Getty Images)