A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . ronic mastitis with re-tention cysts. But it is more probable that the affec-tion is an aberration of the process of involution, andtliat inflammatory changes in the connective tissueand epithelium are accidental (Warren). Pain is not a positive feature, but it may be quiteprominent if the tumor is of rapid growth. A dis-charge of a yellowish or bloody fluid from the nippleis occasionally observed, but the nipple is not re-tracted and there is no dimpling of the sk
A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . ronic mastitis with re-tention cysts. But it is more probable that the affec-tion is an aberration of the process of involution, andtliat inflammatory changes in the connective tissueand epithelium are accidental (Warren). Pain is not a positive feature, but it may be quiteprominent if the tumor is of rapid growth. A dis-charge of a yellowish or bloody fluid from the nippleis occasionally observed, but the nipple is not re-tracted and there is no dimpling of the skin unlessinflammatory changes have taken place in the the tumor is superficially located fluctuation isordinarily apparent, although often the cyst wall isso tense as to appear solid. In cysts deeply locatedonly an indurated area is discernible. The contour isgenerally smooth, round, and regular. The sub-cutaneous fat is unchanged and the breast is of nor-mal appearance. The course of the disease is usually a benign cysts grow slowly up to a certain size, then ceaseto enlarge, and commonly produce no material. Fig. 1117.—Plastic Resection of the Breast for Cystic incision. (Warren, Annals of Surgery, June. 1902.) trouble. But it should always be borne in mindthat carcinomatous degeneration is a possible lateaccession. Diagnosis.—The diagnosis may present decideddifficulties. The contour, consistency, slow develop-ment, multiplicity of tuinors—one, possibly two, ofmoderate size, with a number of smaller nodules scattered throughout the —and the result ofexploratory puncture the clinical evidenceof most importance. The cyst is usually a firm, ,and distinctly defined tumor in which fluctuation ishard to detect, but withdrawal of the contained fluidwill clear up this point. The i)resonce of multiplecysts, the slow growth of the tumor, (he occasional
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