. General surgical pathology and therapeutics, in fifty-one lectures .. . Vascular net-work from a very young cancerous nodnJe of the mamma. Magnified 50 diameters women attacked are usually otherwise perfectly healthy; married andunmarried women, fruitful and barren wives, of all conditions, are at-tacked. Not unfrequently the parents or grand-parents have died ofcarcinoma. Most frequently in one breast, especially in the outer andlower part, there forms a tumor, at first small and painless, that some-times remains unnoticed for months; it is hard, firmly seated in the CARCINOMATA. ^01 Fig. 1


. General surgical pathology and therapeutics, in fifty-one lectures .. . Vascular net-work from a very young cancerous nodnJe of the mamma. Magnified 50 diameters women attacked are usually otherwise perfectly healthy; married andunmarried women, fruitful and barren wives, of all conditions, are at-tacked. Not unfrequently the parents or grand-parents have died ofcarcinoma. Most frequently in one breast, especially in the outer andlower part, there forms a tumor, at first small and painless, that some-times remains unnoticed for months; it is hard, firmly seated in the CARCINOMATA. ^01 Fig. Vascular net-work around points of softening in a cancer of the breast. Magnified 50 diameters. gland, but at first movable under tbe skin and over the pectoral mus-cles ; at first its growth is moderately rapid; possibly a year passesbefore the tumor reaches the size of a small apple; its volume is notalways the same, occasionally it is larger and more sensitive, especiallybefore and during the menses; but occasionally the tumor collapsessomewhat, and is perfectly indolent. These symptoms are on congestion of the mammary gland, partly on atrophyand cicatrization going on in the tumor itself. With time, in thecourse of some months, the tumor grows larger; the skin over it be,-comes immovable, and below it adheres to the pectoral muscle. Thepatients frequently do not notice the commencement of the swellingof the axillary glands, and, if the surgeons attention be not occasion-ally directed to this region, the enlargement of these glands, whichappears as a hard swelling


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Keywords: ., bookcentury1800, bookdecade1870, booksubjecttherapeutics, bookyea