. The breast: its anomalies, its diseases, and their treatment . llary cancers. Differences in diagnoses have practical bearings upon prognosis. Thus, in Warrenshands_only 7 per cent, of the cases of medullary carcinoma operated upon recovered, but 488 THE BREAST in Halsteds hands 48 per cent, recovered. Why this difference? Could it be becausethe same things were not called medullary cancer? In Warrens experience only 3per cent, of the cases were called adeno-carcinoma, and 66 per cent, of them recoveredafter operation,^but in Halsteds experience, per cent, of the cases were called aden
. The breast: its anomalies, its diseases, and their treatment . llary cancers. Differences in diagnoses have practical bearings upon prognosis. Thus, in Warrenshands_only 7 per cent, of the cases of medullary carcinoma operated upon recovered, but 488 THE BREAST in Halsteds hands 48 per cent, recovered. Why this difference? Could it be becausethe same things were not called medullary cancer? In Warrens experience only 3per cent, of the cases were called adeno-carcinoma, and 66 per cent, of them recoveredafter operation,^but in Halsteds experience, per cent, of the cases were called adeno-carcinoma, and 75 per cent, recovered. If we are to make deductions concerning future eventualities from the type of tumorthat is removed, there ought to be simpliiication of the nomenclature, a general agree-ment as to what things should be called, and established criteria by which the differentspecies of carcinoma can be recognized and assigned to their respective classes. The best that can be done at the present time is to say that the order of malignancy. Fig. 179.—Gelatinous (colloid) carcinoma of the breast. of carcinoma is encephaloid or medullary, carcinoma simplex, scirrhus, adeno-carcinoma,Pagets disease and gelatinous, the first being most, the last least malignant. Associated Sarcoma and Carcinoma.—This subject has been exhaustively treated inthe chapter upon Sarcoma of the Breast (), but a brief mention will not be out ofplace at this point. The tumors can coexist in the same breast as independent tumors, or as what appearto be cause and effect. A few cases are on record in which a carcinomatous breast, whenincised for examination, was found not only to contain the typical carcinoma but alsoan equally typical, fairly well-circumscribed non-indigenous sarcoma. Under suchcircumstances the patient suffers danger of malignant manifestations through lymphatic CARCINOMA 489 metastasis and permeation as regards the carcinoma and blood metastasis as regards thesa
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectbreast, bookyear1917
