. Cyclopædia of obstetrics and gynecology. y erysipelas after this operation and diedJuly 9. The autopsy showed double pleurisy, fibrino-purulent periton-itis, purulent cystitis, endometritis, salpingitis and bilateral oophoritis;no emboli anywhere and no metastatic tumors. I have again and again examined different portions of the tumor re-moved. Especially striking was the formation of the partially smooth-walled cystoid spots of softening in the axillary glands. If anyone couldstill think that these cysts, in tumors of the breast, arose perhaps by dil- 62 DISEASES OF THE FEMALE INIAMMARY GLA
. Cyclopædia of obstetrics and gynecology. y erysipelas after this operation and diedJuly 9. The autopsy showed double pleurisy, fibrino-purulent periton-itis, purulent cystitis, endometritis, salpingitis and bilateral oophoritis;no emboli anywhere and no metastatic tumors. I have again and again examined different portions of the tumor re-moved. Especially striking was the formation of the partially smooth-walled cystoid spots of softening in the axillary glands. If anyone couldstill think that these cysts, in tumors of the breast, arose perhaps by dil- 62 DISEASES OF THE FEMALE INIAMMARY GLANDS. atation of the acini oi excretory ducts, to which microscopic examinationcertainly gives no support, such ideas must surely be discarded in regardto the axillary glands. This cyst-growth, as is not unusual in giant-celledsarcoma of the bone, and also leads to the formation of hollow spaces witha perfectly smooth wall, similar to a serous membrane, certainly indicatessarcoma. Nevertheless some parts of the extirpated tumor appeared so. Fig. 19.—From ah Alveolar Giant-celled Sarcoma of the Mammary Gland. Hartnack,Syst. 5. markedly carcinomatous that I was constantly impressed with the ideathat it was a carcinoma or a combination of sarcoma and I cannot so certainly decide the question in this case as inthe former, because I myself did not make the microscopic examinationin the first case, and because normal gland parenchyma, in which transi-tion forms could have been sought, was wanting in the preparation, from which Fig. 19 is taken, is from the recurrent TUMOUS OF THE MAMMARY GLAND. 63 nodule of the mammary cicatrix. Tlie lympliatic glands have a similarappearance. In order to form an idea of the size of those cells and theirnuclei, one may compare this illustration (Fig. 19) with Figs. 16 and 17,as well as with the later illustrations of carcinoma, which are of the sameenlargement. Pure spindle-celled sarcoma, myxo-sarcoma (myxo
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