. Cyclopædia of obstetrics and gynecology. n;they are also found in entirely healthy breasts which have taken on thenormal senile atrophy; and very frequently also in healthy portions of apartially carcinomatously degenerated mamma. Cooper illustrates sucha mamma studded with larger and smaller cysts, which gives a very typi-cal picture of the affection, and which, somewhat reduced, I have repro-duced in Fig. 33. 86 DISEASES OF THE FEMALE MAMMARY GLAISTDS. These cysts seldom originate before the fortieth year; they are pain-less, grow very slowly, and the largest of them only reach the size of
. Cyclopædia of obstetrics and gynecology. n;they are also found in entirely healthy breasts which have taken on thenormal senile atrophy; and very frequently also in healthy portions of apartially carcinomatously degenerated mamma. Cooper illustrates sucha mamma studded with larger and smaller cysts, which gives a very typi-cal picture of the affection, and which, somewhat reduced, I have repro-duced in Fig. 33. 86 DISEASES OF THE FEMALE MAMMARY GLAISTDS. These cysts seldom originate before the fortieth year; they are pain-less, grow very slowly, and the largest of them only reach the size of amedinm-sized orange. Their walls are usually very much distended, andfor that reason, fluctuation is not always distinct. As a rule they lie moreperipherally, though they also approach the nipple, as may be seen inthe illustration. If there is a thick layer of adipose tissue over them, itis very difficult to make a positive diagnosis; according to the movahility ofthe tumors, which at one time feel hard, at another soft and from the age. Fig. 33.—Mamma with many small Cysts; prepared with a portion of the skin, the nipple andareola. (Astley Cooper.) of the women, one will at one time diagnosticate a sarcoma, again an ade-noma or carcinoma. The escape of brownish serum from the nippleoccurs with so many tumors of the mamma that no diagnosis can be basedupon that; in cysts of this kind, this is relatively frequent. These cystsare neither dangerous on account of their vigorous growth nor on ac-count of pain; in the interest of tlie patients, it was always an acceptablesurprise to me to find such a solitary cyst, where I had expected to find adifferent tumor. Carcinoma or sarcoma may occur in their immediatevicinity, with their walls adherent. TUMORS OF THP: MAMMARY GLAND. 81 The anatomical development of these cysts is easily seen in proper pre-parations. MammtB, in which perfect cysts of this kind occur, always
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