. Cyclopædia of obstetrics and gynecology. of so-calledgalactoceles, of wliicli mention has been made. Paktial IIypeetkophy of the Breast.—Adenoma axd Cysto- ADBNOMA. So far I never seen a tumor of the mammary gland which, on histolog-ical analysis, admitted absolutely no other designation than that of a partialand glandular hypertrophy, a purely circumscribed adenoma. It was along time before I met with a case that corresponded nearly to what otherauthors had described as true partial hypertrophy of the mamma. It istherefore more as a concession which I make to the systematic complete-ness of


. Cyclopædia of obstetrics and gynecology. of so-calledgalactoceles, of wliicli mention has been made. Paktial IIypeetkophy of the Breast.—Adenoma axd Cysto- ADBNOMA. So far I never seen a tumor of the mammary gland which, on histolog-ical analysis, admitted absolutely no other designation than that of a partialand glandular hypertrophy, a purely circumscribed adenoma. It was along time before I met with a case that corresponded nearly to what otherauthors had described as true partial hypertrophy of the mamma. It istherefore more as a concession which I make to the systematic complete-ness of this work, that I describe here the following cases; they should,perhaps, be brought in at other places (under fibroma, adeno-sarcoma,etc.) There are two entirely different groups of these so-called adenomata. Fibrosis Lohulated Adenoma. The following figure gives a good idea of the appearance of the sectionof such a tumor, only the lower part is compact and fibrous; the Fig. 28.—Fibrous Lobulated Adenoma op the Mamma. So-called partial hypertrophy of themamma. Two-thirds natural size. upper part, consists of lobes and lobules which are held together by looseconnective tissue containing fatty tissue. The lobules feel in the breast of 80 DISEASES OF THE FEMALE MAMMARY GLANDS. the patient firm and finally granular. Microscopic analysis shows that thecentre of each lobule contains some partly dilated acini, though its prin-cipal mass consists of a firm fibro-sarcomatous tissue, as is always foundin the fibro-sarcomata occurring in young persons. If one imagines thefatty tissue, which is replaced in the more central parts of the tumor byloose bundles of connective tissue, absent, and the fibromatous tissue,which surrounds the single gland lobules, to be continuous, the tumorwould in no wise differ from the ordinary fibro-sarcoma of the mamma.


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Keywords: ., bo, bookcentury1800, booksubjectgynecology, booksubjectobstetrics