Identifier: breastitsanomali00deav Title: The breast: its anomalies, its diseases, and their treatment Year: 1917 (1910s) Authors: Deaver, John B. (John Blair), 1855-1931 Subjects: Breast Breast X-rays Breast Diseases Breast Neoplasms Radiotherapy Publisher: Philadelphia, P. Blakiston's Son & Co Contributing Library: Francis A. Countway Library of Medicine Digitizing Sponsor: Open Knowledge Commons

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Text Appearing Before Image: enlarged, the axillary nodes became invaded, and five months later shedied of hemiplegia. The case reported by Hourteloup (Bull. acad. de med., Paris, 1870, XXX, V, 789)may also be cited. The patient was a woman aged 75 years. When 56 years old she observed several fissures about theright nipple and a slight oozing of blood. About two years after this she noticed a little node the sizeof a nut, that increased and indented at the center, and found a slightly nodular tumor 5 cm. high and 7cm. across. It caused lancinating pain, and continued to enlarge until it was the size of an orange. Asero-sanguinolent discharge occurred, followed by a dark bloody fluid. Amputation of the breast wasperformed, and the tumor was found to be melanotic sarcoma. But not all cases originate from the skin. Thus the tumor reported by Fioriani(La Clinica Chirurgia, 1902, No. 9—see Jahresbrichte fiir Chirurgie, 1912, p. 580)began a year before coming under observation with dripping of a whitish disagreeably

Text Appearing After Image: 394 THE BREAST smelling fluid from the nipple and a decrease in the size of the gland which became butone-half the size of its fellow. The upper outer quadrant contained a pigeons egg-sized encapsulated tumor and the axillary nodes were enlarged. Upon removal andmicroscopic examination the tumor was pronounced to be a melanotic lymphangio-sarcoma. Haeckel (Archiv f. klin. Chirurgie, 1894, XLVII, 275) reports from Prof.Reidells clinic at Jena, a melanotic sarcoma as large as a clinched fist, that occurred asa sharply circumscribed tumor deeply situated in the substance of the breast. Billroth (Deutsche Chirurgie, Lieferung, XLI, p. 56) has described an alveolarmelanotic sarcoma. It occurred in a woman aged 68 years, had made its first appearance three years before, and whenobserved was the size of a childs head, hard,-nodular, adherent to the skin, and accompanied by palpableaxillary lymphatic nodes. A radical operation was performed but when she was discharged from the hos-pital, ther Note About Images