Modern surgery, general and operative . duct walls inconditions of cystic degeneration of the mammary gland. The tumor issofter than the acinous growth and is not nodular. There is no pain, noretraction of the nipple, no skin dimple. Serous or bloody fluid may oftenbe squeezed from the nipple. A duct cancer grows and infiltrates less rapidly,and involves adjacent glands later than does an acinous growth. Carcinoma mastitoides, acute cancer, hraivny cancer, or inflamed canceris a condition originally described by Volkmann in 1875 under the name ofmastitis carcinoma. It comes on almost suddenly,


Modern surgery, general and operative . duct walls inconditions of cystic degeneration of the mammary gland. The tumor issofter than the acinous growth and is not nodular. There is no pain, noretraction of the nipple, no skin dimple. Serous or bloody fluid may oftenbe squeezed from the nipple. A duct cancer grows and infiltrates less rapidly,and involves adjacent glands later than does an acinous growth. Carcinoma mastitoides, acute cancer, hraivny cancer, or inflamed canceris a condition originally described by Volkmann in 1875 under the name ofmastitis carcinoma. It comes on almost suddenly, grows very- rapidly, causes\dolent irritation, and hence widespread infiltration by small cells. The condi-tion resembles inflammation (Edward A. Schumann, in Annals of Surger\,July, 1911). In this condition the surgeon cannot make out the outlines of adistinct tumor, but the entire breast is hardened and enlarged, and the skinof the breast is reddened, infiltrated and edematous, and adheres to thegland. There is often pain and Fig. 1006.—Ulcerating scirrhous carcinoma. Anatomically related glands enlarge. The disease is most apt to arise latein pregnancy or during lactation and is most common in rather young may be limited to one breast, but both breasts may be involved, successivelyor simultaneously. The nipple may or may not be retracted. Slight eleva-tion of temperature is usual. There is rapid metastasis, profound toxemia, and early death. Deathoccurs in less than a year, perhaps in a few weeks. Billroths case died in sLxweeks after the discovery of the cancer. Any persisting case of supposed acute mastitis shoifld make us such a case excise a piece of tissue for examination. In cutting out the piecesmall abscess cavities may be discovered even when the condition is (Ibid.) says there are only 13 reported cases of carcinoma masti-toides. Since Schumanns paper Morris Booth Miller reported a case (An-nals of Surgery, ]\Iay,


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