A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . Fig. Ills.—Plastic Resection of the Breast for Cystic reflected upward. (Warren, Annals of Surgery, June, 1907.) oozing of a darkish fluid from the nipple, the absenceof nipple retraction and skin dimpling, together withthe non-existence of glandular infection, are strongpoints in differentiating it from carcinoma. Treatment.—The fact that recent investigationshave demonstrated the readiness with which cysticformations of the breast, ordinarily consi
A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . Fig. Ills.—Plastic Resection of the Breast for Cystic reflected upward. (Warren, Annals of Surgery, June, 1907.) oozing of a darkish fluid from the nipple, the absenceof nipple retraction and skin dimpling, together withthe non-existence of glandular infection, are strongpoints in differentiating it from carcinoma. Treatment.—The fact that recent investigationshave demonstrated the readiness with which cysticformations of the breast, ordinarily considered inno-cent, may assume carcinomatous features, shows that. Fig. 1119.—Plastic Resection of the Breast for Cystic incisions following removal of large cyst; excision ofmedium-sized cysts and incision of small ones. (Warren, Annalsof Surgery, June, 1907.) operative intervention should never be limited topuncture and aspiration, or that such a method asforcible massage should be resorted to. The largesingle cysts slKaild be excised together with a goodmargin of gland tissue, when the cyst-wall is notthickened and the contained fluid is not bloody. Ifthe cyst is large, or the cyst-waU infiltrated, or 475 Breast, Diseases of REFERENCE HANDBOOK OF THE MEDICAL SCIENCES when the breast is generally riddled with cysts, ampu-tation is to be recommended. Abbe and other sur-geons have advised simple tapping (and the possibleinjection of iodine, etc.) in large cysts, but the ofCurtis, where cancer was demonstrated in a smooth-walled cyst with normal surroundings, together withthe reported cases of McGraw and others in which KALEV
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