The practice of surgery . ng skin is reddened and is traversed bydilated veins, but it is not always adherent. Rarely the axillary nodesare involved. These sarcomata are most common in middle-agedmarried women, and cause discomfort from their size rather than frompain. OTHER BUr-^AST TUMORS 525 The treatment of these three types of tumor is obvious. Fibromataand myxomata demand local removal of the growth only, while thesarcomata require, in addition, amputation of the breast and dissectionof the axilla. So much for fibro-epithelial tumors of the fibrous is another class belonging t
The practice of surgery . ng skin is reddened and is traversed bydilated veins, but it is not always adherent. Rarely the axillary nodesare involved. These sarcomata are most common in middle-agedmarried women, and cause discomfort from their size rather than frompain. OTHER BUr-^AST TUMORS 525 The treatment of these three types of tumor is obvious. Fibromataand myxomata demand local removal of the growth only, while thesarcomata require, in addition, amputation of the breast and dissectionof the axilla. So much for fibro-epithelial tumors of the fibrous is another class belonging to the fibro-epithelial group, however,characterized by a conspicuous development of the epithelial or ductelements in the breast. This is the— Epithelial Type {Cystadenomata).—These tumors are benign, as arule, though they belong to the epithelial type. Warren describes themas adenomata (fibrocystadenomata and papillary cystadenomata), andtheir name describes graphically their structure; they are not Fig. 337.—Periductal myxoma (W. P. Graves). Fibrocystadenomata are made up of periductal fibrous tumors con-taining secondary epithelial new-growths.^ They occur usually inyoung single women. They grow slowly and cause little pain. In ex-tent they vary from the size of a walnut to that of a fist. They arelobular, hard, and movable. The axillary nodes are not involved. Theyare encapsulated and show a lobular structure containing cysts of vari-ious sizes, the cj^sts showing papillary outgrowths of connective tissuecovered with epithelium. The gland-ducts rather than the acini areinvolved. We must regard these fibrocystadenomata as approaching the 1 These are tumors variously described as adenomata, papillary cystadenomata,cystadenoma proliferens, polycystoma, cystic fibroma, tubular adenoma, etc. 526 THE CHEST border-line of malignancy. Ordinarily, it suffices to remove them bya small local incision, but the histology of each tumor must be studiedcarefully, f
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
