Identifier: breastitsanomali00deav (find matches)
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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about 50 per cent, of the cases with bad adeno-cystic change, cancer was already present. The prognostic problems are, how great is the danger of cancer in the particular CYSTS OF THE BREAST 289 case? How shall the patient be treated to prevent cancer? If treated otherwisethan by radical operation, how great is the danger of subsequent return of the samedisease or of the subsequent appearance of cancer? The general malignant tendency of abnormal involution may be very real, butis neither immediate nor certain. If it be true that 25 per cent, of all old women showmore or less of it, and that of those who show it only 10 per cent, are in danger of cancerand if it can be assumed as Bloodgood says, and we believe, that one-half at least of thevery bad cases are already associated with cancer, by treating all of the bad cases ascancer, we ought to reduce the danger to say 5 per cent. A simple operation maysuffice to save the cases comprising these 5 per cent, from future malignant disease.
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Fig. -Badly circumscribed area of periductal fibroma (?) such as may often be found in the breastswith abnormal involution. The fact that abnormal involution is a process that is apt to be distributed through-out the breast, and often throughout both breasts, and that it may be in different stagesin different parts of the breast or breasts, makes it imperative to make exploration ofthe breast as thorough as possible, and the removal of the suspected areas from asmany parts of the breast as possible. It may be well to inquire what happens if the disease be treated conservativelyaccording to this method. Bloodgood reports about 100 cases in which the breastswere explored, cysts of simple character, and sometimes cysts of suspicious character 290 THE BREAST removed. He says that the cysts were smooth-walled, contained clear or slightlycloudy fluid—no blood or chocolate-colored fluid—and that they were free from papillaryexcrescences. Sometimes the walls were indurated, and upon micro

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