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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Fig. log.—Tuberculosis of the breast showing a part of the following section under a higher power. These tables also disprove the assertion of the older writers and of more recentobservers, among others St. Jacques, that tuberculosis of the breast is a disease ofadolescence and young womanhood. Social ConditionPrimary Cases Single 7 Parous 23 or 51.1 per cent. Married 20 \ . ^ Nulliparous 21 Widows ^ I 64.S per cent. ^^^^^ ^ Males I — Not mentioned. ... 9 45 THE INFECTIOUS DISEASES OF THE BREAST 209 Secondary Cases Single 7 Parous 8 or 27.5 per cent. Married 16 or 53.5 per cept. Nulliparous 19 Widows o Males 2 Males 2 Not mentioned. ... 4 29 29 Whether the influence of fecundity as indicated by the above tables acts in the roleof a real predisposing cause, or that it is merely coincidental to the age at which the disease
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Fig. 110.—Tuberculosis of the breast, showing a distinct tubercle with a characteristic giant-cell in the upper part of the field. is more likely to occur, is difficult to answer. The statistics of Anspachs 40 primarycases are as follows: Married 28 or 70.o per cent. Single 12 or 30. o per cent. Parous 19 or 4 7 . s per cent. These figures, it will be observed, closely correspond with those in the list of primarycases in our series. It is unjustifiable to draw conclusions from so small a number ofcases, yet it would seem that the mammary changes incidental to pregnancy are notmore predisposing to tuberculous involvement of the breast from a distant focus than h 2IO THE BREAST to the so-called primary involvement. At least were such predisposition potent in theproduction of tuberculous mastitis, we would expect to find many more cases among thethousands of nulliparous women suffering with various forms of tuberculosis, active orlatent. Von Eberts says that lactation is possibly the m

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