The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . 590 DISEASES OF THE BREAST. moval cannot, indeed, at any stage, l)e undertaken without much dissections requisite for the extirpation of such masses, as in , 1 have had to expose the axillary and subscapular vessels and theiraccompanying nerves. The cancerous growth being usually somewhatwidely disseminated, it is difficult to be certain that the whole is fairly-extirpated: hence recurrence is likely speedily to take place. Chronic Strumous Disease of the axillary glands is occas
The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . 590 DISEASES OF THE BREAST. moval cannot, indeed, at any stage, l)e undertaken without much dissections requisite for the extirpation of such masses, as in , 1 have had to expose the axillary and subscapular vessels and theiraccompanying nerves. The cancerous growth being usually somewhatwidely disseminated, it is difficult to be certain that the whole is fairly-extirpated: hence recurrence is likely speedily to take place. Chronic Strumous Disease of the axillary glands is occasionally metwith, forming a large lobed mass under the pectoral muscle. Such atumor as tliis may easily and safely be enucleated, and should be removedif it have resisted all ordinary topical and constitutional treatment. Itwill be found to be infiltrated with tubercle. Simple Tumors of various kinds are met with in the axilla. The mostcommon are lymphadenoraata of the axilUuy glands, fatty, and fibro-cellular Pig. 66S.—Primary Cancer in Axilla in a Man. Lymphadenoma of the Axillary Glands is chiefly met with inyoung women, forming a smooth, lobed, movable mass, usually aboutthe size of an orange, in tiiis situation. If left untouched, a process ofplastic deposit goes on in the tumor until at last it may attain a greatbulk. These tumors may readily be removed by enucleation. The Fibro-eellular Tumor will sometimes attain a great magnitudein the axilla, forming a large, smooth, rounded mass, stretching themuscles and displacing the vessels and nerves, as in Figs. 669 and this case the tumor, which was of very slow growth, developed be-tween the serratus and the ribs, stretching the muscle over it so as toform a species of capsule to it, drawing the scapula forwards, depressingthe chest-wall, and drawing the axillary vessels down to about three HERNIA. 591 inches below the clavicle. In removing it I was obliged to take awaya piece of the expanded serratus as larg
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