. The breast: its anomalies, its diseases, and their treatment . is nor to direct referencefrom the primary tumor, is a symptom of the advanced stages of the disease. It isespecially frequent in cases where ulceration has taken place and is due to the effect oftoxines absorbed from the necrotic tissues. In deciding for or against operation, thissymptom should have no weight until the actual cause of the pain is conclusively provenby X-ray and other examinations. The pain associated with mammary carcinoma hasbeen described by our patients as slight, moderately severe, or excessive; of a stickin
. The breast: its anomalies, its diseases, and their treatment . is nor to direct referencefrom the primary tumor, is a symptom of the advanced stages of the disease. It isespecially frequent in cases where ulceration has taken place and is due to the effect oftoxines absorbed from the necrotic tissues. In deciding for or against operation, thissymptom should have no weight until the actual cause of the pain is conclusively provenby X-ray and other examinations. The pain associated with mammary carcinoma hasbeen described by our patients as slight, moderately severe, or excessive; of a stickingdrawing character, or knife-like and shooting into the arm, axilla, neck, abdomen orchest, and in several instances was complained of as affecting only the axilla and , infectious diseases, the menstrual periods and damp weather were all given asinfluential in its production. Diseases of the breast other than carcinoma are frequently associated with pain intheir early stages; thus abnormal involution causes slight degrees of pain in its earliest. Fig. 196.—Peau dorange or pig-skin appearance of the breast in a well-characterized case ofcarcinoma. (Handley.) Stages in the majority of instances. The specific granulomas are rarely unassociatedwith this symptom. The fibro-epithelial tumors in the breasts of young women some-times cause marked degrees of pain; more often these patients merely complain of painfulsensations at the time of the menstrual periods, when the tumors also seem to increase insize. Greenough and Simmons state that one-third of their patients with the fibro-adenomatous type of tumors complain of pain of varying degrees of intensity, while only10 per cent, of our own patients with benign tumors gave the history of this symptom,and in only seven instances was the pain spontaneous and unrelated with the , of the peri-ductal type, usually pursues a painless course until the tumor attainsan enormous size. The non-indigenous variety of
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectbreast, bookyear1917
