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: embarrassment until THE ACQUIRED ANOMALIES OF THE BREAST III the surgeon is consulted. Operative removal interrupts the further growth of many of the organs, so that it is only necessary to mention the cases in which a maximum growth has been attained. The most extreme enlargement on record is in Durstons remarkable case in which the removed left breast weighed 64 pounds, and the subsequently removed right breast 40 pounds. The combined weight of the breasts could have been little less than that of the patient after their removal. This patient did not survive the operations, which were performed before the period of anesthesia or asepsis. In Porters case the right breast was so large that when the patient stood it reached midway down the thigh. The combined weight of the breasts was so great that the patient could no longer sustain them, and a frame was made to support them and give her comfort while in the hospital. The right breast when removed is said to have weighed 43 pounds, the smaller

Text Appearing After Image: Fig. 76.- -Enormous pendulous mammary glands simulating mammary hypertrophy, but caused by the pressure of fibro-epithelial tumors. (Muchanoff.) left breast 17 pounds. The patient recovered from the operation. The breasts of the woman seen by Bartholinus reached to the patients knees. Chassaignac and Richelot saw a breast that hung down to the patients knees and weighed 30 pounds. Borellus also saw a case whose breast weighed 30 pounds and was carried in a sac. From these monstrous proportions, attained in but few cases, we pass to many in which the breasts reach to the pubes, and to a great many in which they reach to the neighborhood of the umbilicus. Etiology.—No writer has done more than speculate upon the cause of the enlargement.There seem to be only two cases recorded in which hereditary tendencies are apparent. One of these, whose mother at one time suffered from enormous enlargement of the breasts, and whose brother was a gynecomastic, is reported by Piianz. The other is that reporte

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