A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . ystic tumor produced bj obstruction or obliteration, followed bydilatation, of a milk sinus or duct. Injury inflictedupon the nipple during sucking or otherwise, is aprobalile cause of the obstruction. Rupture of thewall of the duct may take i)lace with escape of milkinto the connective tissue, which becomes thickenedand altered to form a pseudo-cyst wall. Practically,the growth invariably develops during the lacta-tion period, but it has been known to a isc indepe
A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . ystic tumor produced bj obstruction or obliteration, followed bydilatation, of a milk sinus or duct. Injury inflictedupon the nipple during sucking or otherwise, is aprobalile cause of the obstruction. Rupture of thewall of the duct may take i)lace with escape of milkinto the connective tissue, which becomes thickenedand altered to form a pseudo-cyst wall. Practically,the growth invariably develops during the lacta-tion period, but it has been known to a isc indepen-dently of pregnancy, that is, months before and longyears after, as shown by the cases of Atlee and ofBouchacourt. The contents of the lacteal cyst vary with theabsorption of the fluid elements, and the chemicalchanges incident to the age or length of time thetumor has existed. At first this is pure milk; later itmay be altered to a turbid fluid with colostrum debris;and an older cyst may contain a creamy or oily matteroften resembling butter in and appear-ance. In still others, as absorption goes on. this may. Fig. 1123.—Multiple Galactocele. (Mudd, .i. Practice ofSurgery.) be reduced to a curdy or cheese-like the material is found to be almost purefat. I have seen two such tumors, one as large as anapple, the other somewhat smaller, and fiUed with acaseous mass almost identical in resemblance to softcream cheese. They do not often grow to a great proportion, theaverage size being about that of an egg. but occasion-ally cases have been reported where enormous dimen-sions were attained, as, for example, the patient ofScarpa. The tmnor is usually solitary, less frequentlymultiple; and the consistency will depend upon thecontents—the presence of fluid giving fluctuation,whereas if the contents are thick and inspissated thereis pitting on pressure, and a doughy or even solid sen-sation is imparted to the finger. In old cysts the wallmay
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