. A practical treatise on tumors of the mammary gland: . e last four months of itsexistence it had increased rapidly, and -produced great discomfort from itsweight. The greater and lesser pectoral muscles were extensively section, there was an escape of thin, sanguinolent fluid, and the cut surfacesof the mass were pervaded by yellowish areas of caseous degeneration. From a section of a soft tumor of nine months duration, removed byProfessor Agnew from a multiparous married lady, fifty-three years of age. Thesubcutaneous veins were somewhat enlarged ; but the skin, nipple, and a


. A practical treatise on tumors of the mammary gland: . e last four months of itsexistence it had increased rapidly, and -produced great discomfort from itsweight. The greater and lesser pectoral muscles were extensively section, there was an escape of thin, sanguinolent fluid, and the cut surfacesof the mass were pervaded by yellowish areas of caseous degeneration. From a section of a soft tumor of nine months duration, removed byProfessor Agnew from a multiparous married lady, fifty-three years of age. Thesubcutaneous veins were somewhat enlarged ; but the skin, nipple, and axillaryglands were normal, and there were no adhesions. The disease recurred in thecicatrix in two months, increased rapidly, was painful, and occasionally bled ;and death ensued suddenly, three months and a half subsequently. 134 VARIETIES. In four specimens wliicli I examined, tlie deli-cate trabeculae of tlie stroma were infiltrated bysmall cells in tliree, and composed of a spindle-celledtissue in tlie other, so that it might with propriety Fig. 23. Encephaloid Carcinoma.—The alveoli are filled with large cells, almost all ofwhich are vacuolated. The largest contain a nucleated cell, while many,from the situation of the nucleus at their periphery, present the character-istic signet-ring appearance. A few are merely hollow vesicles. be called a sarcomatous carcinoma, of which an illus-tration is to be found in Mr. Arnotts monograph onThe Histology and Diagnosis of Cancer. In otherspecimens the walls of the alveoli are constitutedmainly by embryonic bloodvessels surrounded by athin layer of soft connective tissue, giving rise totelangiectatic carcinoma, or fungus hematodes, as itis more commonly termed, from its macroscopic fea-tures. It should be observed that medullary carci-noma is not always a soft tumor. The specimen fromwhich fig. 22 was derived was tolerably firm and elas-tic, and the cells had not undergone advanced fattychanges, so that the masses of cells distende


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Keywords: ., bookcentury1800, bookdecade1880, bookpublishernewyo, bookyear1880