. Cyclopædia of obstetrics and gynecology. lium is lessstriking, because I have seen the same thing in prolifei-ating cysto-sar-coma. The distension is generally similar; it leads to irregular hollowspaces, into which, as may seem at first glance, papillary growths areforming. On closer analysis, it is soon found that these papillary growthsare nothing else than the somewhat enlarged partitions between the is in miniature a similar developmental process to that occurring inVol. IX.—6 82 DISEASES OF THE FEMALE MAMMARY GLANDS. cysto-sarcoma, except that tlie interstitial tissue here is
. Cyclopædia of obstetrics and gynecology. lium is lessstriking, because I have seen the same thing in prolifei-ating cysto-sar-coma. The distension is generally similar; it leads to irregular hollowspaces, into which, as may seem at first glance, papillary growths areforming. On closer analysis, it is soon found that these papillary growthsare nothing else than the somewhat enlarged partitions between the is in miniature a similar developmental process to that occurring inVol. IX.—6 82 DISEASES OF THE FEMALE MAMMARY GLANDS. cysto-sarcoma, except that tlie interstitial tissue here is not markedly ex-uberant; not, or at least in only a few places, sarcomatously degenerated(the vascularisation therein had become somewhat richer, though thebundles of connective tissue remained most important), and that the dil-atation was equally diffused in all the acini, while in proliferating cysto-sarcoma, the excretory ducts become disproportionately dilated. Beigel,under the description Sarcoma Adenoides mammEe,^ and Konig, under. Fig. 31.—From a Soft Cysto-Adenoma of the Mammary Gland. Hartnack, Syst. 5. Cysto-sarcoma proliferum, give an illustration which corresponds tol-erably well to the above. A second case belonging here I have alreadydescribed under tubular cysto-adenoma of the mamma {ArcMv. Cldrurgic, Bd. I, p. C49). In this case there was as much difficultyin the clinical as in the anatomical diagnosis. I here quote from myformer description: A short time ago (July, 18G5) I extirpated a tumor from the rightbreast of a young married woman of about 24 years of age, who had neverbeen pregnant; the tumor was about the size of a hens q^^, was immov- TUMOKS OF THE MAMMARY GLAIS^D. 83 able in the gland, felt lobular and uneven, and caused moderate painswhich radiated to the arm of the affected side; it had developed in thecourse of one year. My diagnosis was uncertain; although the local ap-pearances were strongly in favor of carcinoma, the age of the patien
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