. A practical treatise on tumors of the mammary gland: . elled tumor remained of the size of ahazel-nut for six years, when it grew continuously forfour years, and reached the volume of a fist, and thendoubled its size in three years and a half, and duiingthe last six months, or fourteen years from its firstappearance, attained a weight of nine pounds. Inter-mission of growth is not infrequent in sarcoma, and isof diagnostic value when compared mth the progressof other neoplasms of the breast. As occurs infibroma, continuous growth rather indicates freedomfrom cysts and vegetations, while sudd
. A practical treatise on tumors of the mammary gland: . elled tumor remained of the size of ahazel-nut for six years, when it grew continuously forfour years, and reached the volume of a fist, and thendoubled its size in three years and a half, and duiingthe last six months, or fourteen years from its firstappearance, attained a weight of nine pounds. Inter-mission of growth is not infrequent in sarcoma, and isof diagnostic value when compared mth the progressof other neoplasms of the breast. As occurs infibroma, continuous growth rather indicates freedomfrom cysts and vegetations, while sudden and rapid * Marignac, Bull, de la Soc. Anat., t. lii, p. 428. Anderson, Trans. Path. Soc. Lond., vol. xxiii, p. Marchand, Gaz. d^s HapUaur, No. 51, 1869, p. 196. * Journal de VAnat. et de Phys., t. x, p. 195, and Bull, de la Soc. Anat., i,xlTui, p, 817. OROWTE. 83 increase points to fluid accumulation and intracana-licular vegetations. The growth of sarcomata might naturally be ex-pected to be connected with menstruation, pregnancy, Fig. 12.». MrxoMATors and Telangiectatic Cystic Small Spindle-Celled Sarcoma. or lactation, or with conditions which render themammary gland more vascular; but the influence of Myxomatous, telangiectatic, cystic, spindle-celled sarcoma, the minute fea-tures of which arc represented in fig. 9, A young and single lady, twenty-fouryears of age, first noticed, seven years previously, or a few months after theestablishment of menstruation, a lump, as large as a hickory-nut, just above and 84 SARCOMA. an increased flow of blood to the organ, whicli liasbeen assumed by certain authors, is not confirmed byan analysis of the cases that I have collected. Thus,in only two examples was an increase in bulk wit-nessed at the menstrual period, while in one thetumor became smaller, and in two the rapid growthbegan at the menopause/ From these considerations it follows that, whilesarcomata constitute the most bulky of the mammaryneoplasms,* their gro^vth i
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