Surgery; its theory and practice . d elastic owing to their richness in cells and blood-vessels and their scanty amount of intercellular substance. Onsection they appear of a pinkish-white color, often blotched withblood, while cysts from h?emorrhages and mucoid softening some-times occur in them. Signs.—The small-spindle-celled sarcoma can hardly be diag-nosed before removal from the adeno-fibroma and large-spindle-celled and round-celled varieties form smoothelastic tumors, oval or rounded in shape, and are lobed or bossedwhen cystic; whilst the veins of the breast are ofte
Surgery; its theory and practice . d elastic owing to their richness in cells and blood-vessels and their scanty amount of intercellular substance. Onsection they appear of a pinkish-white color, often blotched withblood, while cysts from h?emorrhages and mucoid softening some-times occur in them. Signs.—The small-spindle-celled sarcoma can hardly be diag-nosed before removal from the adeno-fibroma and large-spindle-celled and round-celled varieties form smoothelastic tumors, oval or rounded in shape, and are lobed or bossedwhen cystic; whilst the veins of the breast are often enlarged andtortuous. They grow rapidly, and may perforate the skin andprotrude as a fungus; but unUke carcinoma, they do not infiltratethe skin or cause retraction of the nipple, and the glands are notusually enlarged. The tumor, moreover, is commonly larger thanscirrhus, and the patients age below that at which carcinoma isusually met with. The only effectual treatment is the removal of the whole breast. ADENO-CYSTOMATA. 765. Cystic adenoma of the breast. (St. Bartholo-mews Hospital Museum.) If there is any doubt whether the tumor is an adeno-fibroma or asarcoma, it is better to have the consent of the patient before theoperation for the removal of the whole breast, should the tumorwhen cut into appear to have malignant characters. Adeno-cvstomata, cysto-sarcomata, sero-cystic sarcomata, andglandular proliferating cysts, are terms apphed to tumors in thebreast in which the growth in the periacinous connective tissueprojects into the interior of dilated acini and ducts in the form ofpapillary or cauliflower-like masses. The periacinous growth,which may consist of fibrous tissue, spindle or round cells, J^^- 363. or of a mixture of all these,protrudes the wall of the di-lated acinus or duct in frontof it, but does not penetratethe epithehal lining, and mayultimately fill the wholeacinus, which is thus con-verted into a mere sHt-like space lined with epi-thelium. On section
Size: 2006px × 1245px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
