. The breast: its anomalies, its diseases, and their treatment . by Warren. Table X Number of cases Cured, per cent. Colloid (gelatinous) 2 100 Pagets I 100 Adeno-carcinoma 3 66 Scirrhus . 28 43 Cancer 26 23 Medullary 40 7 Total : 100 In the analysis of larger series of cases, the order of frequency for the least malignanttype is reversed. Thus, Finney considers Pagets disease a more malignant variety thanadeno-carcinoma. All writers agree that the gelatinous is the least malignant variety ofthe disease. Halsted adopts a somewhat different classification, and the gelatin- CARCINOMA 555 ous and
. The breast: its anomalies, its diseases, and their treatment . by Warren. Table X Number of cases Cured, per cent. Colloid (gelatinous) 2 100 Pagets I 100 Adeno-carcinoma 3 66 Scirrhus . 28 43 Cancer 26 23 Medullary 40 7 Total : 100 In the analysis of larger series of cases, the order of frequency for the least malignanttype is reversed. Thus, Finney considers Pagets disease a more malignant variety thanadeno-carcinoma. All writers agree that the gelatinous is the least malignant variety ofthe disease. Halsted adopts a somewhat different classification, and the gelatin- CARCINOMA 555 ous and Pagets types are not included in his list. It will be observed that 48 percent, of the patients who had tumors of the medullary type are reported as cured of thedisease. This experience is at variance with that of the great majority of surgeons. Table XI.—Halsted Type of the disease Number of cases number of cures Cancer cysts Adeno-carcinoma Medullary Circumscribed infiltrating scirrhusLarge infiltrating 3S-020,5 In the large series reported by Schwarzkopf from Wolflers clinic in Prague, percent, of the cases of scirrhus carcinoma, and per cent, of those with the simplexvariety were cured by radical amputation. AH of the patients with the medullary typeof the disease were dead as the result of recurrence or showed evidence of recurrencewithin three years after operation. The duration of the disease is the most important factor to be taken into con-sideration in determining the curability of mammary carcinoma. Metastasis almostinvariably occurs, and while the period elapsing between the onset of the disease and theinvolvement of other organs and tissues varies considerably, the fact remains, thatthe chances of operative cure decrease with each days neglect of surgical few exceptions to this general rule are found in cases of the fibrosing type of the diseaseoccurring in aged women. Thi
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectbreast, bookyear1917
