Clinical lectures on the principles and practice of medicine . was known. While now it has become apparent that growths,which are truly glandular in their nature, have frequently been mistakenfor fibrous and even for cancerous formations. These growths are sometimes lobulated, with the lobes more or lesscompressed, and the interlobular fibrous tissue varying in density andamount. They may reach a considerable size. One, removed from thefemale breast by Mr. Syme, which I carefully examined, was larger thanthe human adult head, and weighed upwards of eight pounds. To thefeel they vary in density
Clinical lectures on the principles and practice of medicine . was known. While now it has become apparent that growths,which are truly glandular in their nature, have frequently been mistakenfor fibrous and even for cancerous formations. These growths are sometimes lobulated, with the lobes more or lesscompressed, and the interlobular fibrous tissue varying in density andamount. They may reach a considerable size. One, removed from thefemale breast by Mr. Syme, which I carefully examined, was larger thanthe human adult head, and weighed upwards of eight pounds. To thefeel they vary in density, are lobular or smooth externally, and in thelatter case are not unfrequently surrounded by a fibrous capsule. Onsection they are sometimes smooth and glistening, at others somewhatgranular and dull. The cut surface varies iu color, sometimes beingalmost white, at others of a pale yellow, pink, or fawn color, apparentlyfrom the greater or less amount of vascularity of the particular mode of growth is by no means uniform. Sometimes they remain. Fig. 220. Fig. 221. Fig. 219. indolent and stationary, then again they increase steadily in size, slowly Figs. 219, 220, and 221. Structure of a glandular tumor, surrounded by a fibrouscyst, removed from the female mamma. Fig. 219. Thin section transverse to theglandular lobules, after the addition of acetic acid, showing the condensed epitheliallining membrane and enclosed epithelium cells. Fig. 220. a, Mass of epitheliumseparated from the cut lobule; b, cellular contents.; c, the same, after the addition ofacetic acid. Fig. 221. Longitudinal section of one of the ducts leading from thelobules, after the addition of acetic acid. 250 diam. 208 PRINCIPLES OF MEDICINE. at one time and rapidly at another. Occasionally, after giving rise tomuch anxiety, they gradually disappear, but not unfrequently they pre-sent all the external characters and symptoms of fibrous or sarcomatoustumors, and now and then those of true cancer. In
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectmedicine, bookyear187
