The practice of surgery . Fig. 170.—Carcinoma; secondary. An exampleof the numerous nodulated tumor?, which oftenform in the cicatrix of the former growth. One isulcerated in the site of the mammilla. The general description of this tumor {Principles, 3d Am. Ed t> 310)is not departed from; the chief peculiarity being in the nipplefwhich,early involved is remarkably retracted and shrivelled in appearance!The glands of the axilla, too, are liable to be soon affected The dis-ease is known by the age of the patient, the hardness of the tumor thecharacter of the pain, the rate and mode of growth
The practice of surgery . Fig. 170.—Carcinoma; secondary. An exampleof the numerous nodulated tumor?, which oftenform in the cicatrix of the former growth. One isulcerated in the site of the mammilla. The general description of this tumor {Principles, 3d Am. Ed t> 310)is not departed from; the chief peculiarity being in the nipplefwhich,early involved is remarkably retracted and shrivelled in appearance!The glands of the axilla, too, are liable to be soon affected The dis-ease is known by the age of the patient, the hardness of the tumor thecharacter of the pain, the rate and mode of growth, the involvement of EXTIRPATION OF THE MAMMA 365 the skin and retraction of the nipple, the cachectic state of the systemas evidenced by the countenance and general appearance. The onlycure is by extirpation; but, as,formerly explained {Principles, 3d Am. Fi. Fungus Ha?matodes of Mamma; fungoid, bleeding, and blood-like. Ed. p. 317), it is only a small number of the many cases which presentthemselves to the surgeon, which warrant operation ; and it may bewell to repeat here, that if the skin be much involved, if the nipple bemuch retracted, if there be a marked depression over the tumor, if theopen condition be arrived at, if there be adhesion of the tumor to thepectoral muscle or to the ribs, if there be ominous signs of some ob-scure yet serious disorder proceeding within, and if there be glandularaffection without—these, being all singly most unfavorable, and betoken-ing relapse, do most certainly, when coming together, oontraindicateall operative interference. Extirpation of the Mamma. The patient having been placed recumbent, and duly arm on the affected side is raised and held by an assistant, so as tostretch the pectoralis major, and facilitate incision. The knife is enteredon the axillary aspect of the tumor, in
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Keywords: ., bookcentury1800, bookdec, booksubjectsurgicalproceduresoperative
