. A practical treatise on diseases of the skin, for the use of students and practitioners. tle first given by Velpeau. In these casesthe condition is striking in its peculiarities, and in the highest degree i Centralblatt f. Chirurg., 1881, No. 40. NEW-GROWTHS. 685 serious. The integument of a large portion of the chest, usually morein front, but also behind, and even a part of the anterior abdominalwall, is converted into a dense leathery envelope, often so compress-ing the chest-wall as seriously to impede respiration. The edges ofthe infiltration are poorly defined save at the lines where t
. A practical treatise on diseases of the skin, for the use of students and practitioners. tle first given by Velpeau. In these casesthe condition is striking in its peculiarities, and in the highest degree i Centralblatt f. Chirurg., 1881, No. 40. NEW-GROWTHS. 685 serious. The integument of a large portion of the chest, usually morein front, but also behind, and even a part of the anterior abdominalwall, is converted into a dense leathery envelope, often so compress-ing the chest-wall as seriously to impede respiration. The edges ofthe infiltration are poorly defined save at the lines where tongue-likeprolongations (languettes) of dull reddish hue indicate the advance ofthe scirrhous process over the skin. The lymphatic circulation isobstructed, the glands enlarge, and, what is almost pathognomonic ofthe disorder, the upper extremity, usually of the side chiefly involved,becomes enormously swollen and oedematous. The nipple may ormay not be retracted; the breasts, one or both, are firmly bound downto the chest-wall by the cuirass of dense skin, hard, smooth, or rough, Cancer en cuirasse, chiefly involving the right side of the chest (from a painting in oil). shining, and either reddened in dull hues or of normal tint, here andthere traversed by vessels, and breaking down into ulcerations, usuallyfirst about the nipple, but also elsewhere. The process is one of themore rapid of the scirrhous metamorphoses of the body, as a fatalresult is usually reached in a few months, though years have in somecases elapsed before death resulted. One of the authors patients, anunmarried woman, with breasts in the virgin state, perished in thecourse of a few months, the cancer having originated in the skin. Themilium-like masses, as large as grains of wheat (conspicuously presentin Morrows case, cited below), undergoing fatty degeneration in thecentre and readily expressed like comedones, are not always interesting case of widely disseminated lenticular cancer of th
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