Identifier: cyclopdiaofobs09gran Title: Cyclopædia of obstetrics and gynecology Year: 1887 (1880s) Authors: Grandin, Egbert H. (Egbert Henry), b. 1855, ed Bandl, Ludwig Billroth, Theodor, 1829-1894 Börner, Ernst, 1843-1914 Breisky, A Charpentier, Arthur Louis Alphonse, 1836-1899 Chrobak, Rudolf Gusserow, A Hegar, A. (Alfred), 1830-1914 Kaltenbach, Rudolph, 1842-1896 Müller, Peter, 1836-1922 Olshausen, Robert Michaelis von, 1836-1915 Winckel, F Zweifel, Paul Subjects: Obstetrics Women Gynecology Obstetrics Publisher: New York, W. Wood & Company Contributing Library: Columbia University Libraries Digitizing Sponsor: Open Knowledge Commons

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Text Appearing Before Image: eally originated in the connectivetissue binding the lobules together, or whether they were developed be-liind or near the gland in the loose cellular tissue, and thence pushed thegland before them; in a few cases this seems certainly to have occurred.This was so in a case which I saw and which has been reported by Carl TUMORS OF THE MAMMARY GLAND. 49 Hegetscliweiler: Agatha St., tliirt3-four yeai-s old, admitted February14,1865; was entirely well until six years ago. At that time, while sawingwood, she felt a pain in the right breast just above the nipple, and at thesame time noticed a tumor at that spot; the pain soon passed away, butthe tumor grew constantly. In March, 1863, she was confined, and theswollen breast had. possibly more milk than the liealthy one, though shedid. not nurse her child from it at first, chiefly because the nipple wasflattened, by the tumor, and the child could scarcely get liold of it. Thegrowth continued to increase, becoming especially large at each men-

Text Appearing After Image: FiG. 13.—Woman, Thirty-four Years Old, with Enormous Lipoma behind the Right jMamma. strual period. The condition of the breast at the time of admission isshown in Fig. 12. The tolerably dark-colored nipple with the areola lay as nearly as pos-sible at the most dependent portion of the enormously enlarged mamma,which felt nodular, large-lobed, partly soft and partly firm and elastic.The length from the upper portion to the nipple was 17.2 inches. Theskin over the tumor contained dilated veins, was thinned but did notadhere to the neoplasm. The lymphatic glands were not enlarged, and thegeneral condition of the not very strong, though well-nourished woman,was not at all disturbed. Since scarcely anything else than diffuse hypertrophy and cysto-sarcoma of the breast attain such enormous size, I thought it must be one of these conditions or perhaps a combination of both. After the extirpationVol. IX.—4 50 DISEAiiES OF THE FEMALE :MAMMARY GLANDS. on February IG, which consisted in amp

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