Identifier: principlespracti1872hami Title: The principles and practice of surgery Year: 1872 (1870s) Authors: Hamilton, Frank Hastings, 1813-1886 Subjects: Surgery General Surgery Publisher: New York : W. Wood & Co. Contributing Library: Francis A. Countway Library of Medicine Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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Text Appearing Before Image: the tissues adjacent, are liable to a varietyof structural changes and neoplasms, constituting tumors. They may be enumerated as follows:—Simple hy-pertrophy of the mammary gland, thelacteal cystic tumor, adenoid or adeno-cele, sebaceous cysts, hydatids or acepha-lo-cysts, adipose tumors, cartilaginous,osseous, encephaloid, colloid, scirrhus,and enlargements of adjacent or over-lying absorbent glands. Hypertrophy of the MammaryGland. Syn., Hypertrophia Mam-mae, R- O—Hypertrophy of the mam-mary gland, so called, occurs most oftenin females after puberty, and it is thenusually associated with some irregularityof the menstrual function. Occasionallythe hypertrophy dates from an early pe-riod of life. It is characterized by theslowness and regularity of its growth, bythe absence of excessive induration, orIn short, it is chiefly distinguished by neg-ative signs, and by the great size to which it may finally attain withoutin any degree compromising the life or health of the individual.

Text Appearing After Image: Simple Hypertrophy of the Breast. of any sign of malignancy. ADENOCELE OF TIIE BREAST. 705 original grand Fig. S61. When these tumors have attained a great size, thestructure is found to have been in some measure absorbed, and thehypertrophy is seen to be mainly due to the increase of connective andadipose tissue. Treatment.—Improvement of the health, re-establishment of themenstrual functions, well-applied pressure, and iodine, are the remediesmost to be relied upon. If it becomes a source of annoyance from itsgreat size, it may be extirpated. Lacteal Cystic Tumor.—The result of obstruction of a lacteal tube,with dilatation or rupture of its walls. This form of tumor commences,in most cases, soon after delivery, forming a round or oblong smoothelastic swelling, which has sometimes been permitted to attain a greatsize. When the contents of such a cyst are found to have the con-sistence and appearance of butter, cheese, or casein, the tumor is calledbutyroid. Very rarely an obstruc

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