. Cyclopædia of obstetrics and gynecology. closedwith sutures, healed completely by first intention, and the patient left thehospital 14 days after the operation, cured. On July 22 the patient returned, because three weeks before a new andvery rapidly growing tumor had developed in the cicatrix. The patienthad been rid of her chlorosis l)y the use of chalybeate waters, and lookedblooming. Under the cicatrix in the left mamma, lay a more or lessclearly fluctuating tumor as large as the fist, which was entirely painless;the axillary glands were not swollen. The extirpated tumor had the ex- TUMOR
. Cyclopædia of obstetrics and gynecology. closedwith sutures, healed completely by first intention, and the patient left thehospital 14 days after the operation, cured. On July 22 the patient returned, because three weeks before a new andvery rapidly growing tumor had developed in the cicatrix. The patienthad been rid of her chlorosis l)y the use of chalybeate waters, and lookedblooming. Under the cicatrix in the left mamma, lay a more or lessclearly fluctuating tumor as large as the fist, which was entirely painless;the axillary glands were not swollen. The extirpated tumor had the ex- TUMORS OF THE MAMMARY GLAND. 57 act appearance of brain substance, and was sharply circuniscribed. Heal-ing followed the extirpation of the tumor and remainder of the glandvery quickly, and on August 7 the patient left with a small healthy gran-ulating wound. But there is scarcely any doubt there was soon anotherrecurrence, and that the girl finally died from the disease. It is seen from the illustration (Fig. IG) that the original gland-ele-. FiG. 16.—Medullary Sarcoma with Striated Muscular Fibres from the Breast of aYoung Girl. Enlarged 200 times. ments are surrounded by the tumor, which contains besides small roundcells, some fatty tissue also, which is not newly formed, but has not yetchanged to sarcomatous tissue. More often I have seen broad band-like fibre-filaments in sarcoma andcysto-sarcoma of the mamma, though on isolation I could not draw theconclusion that they were organized muscular fibres. That such may 58 dis?:ases of the female mammary glands. occasionally develop from the layer of muscular fibres of the larger ex-cretory ducts there is no doubt. There was no connection of the tumorto tiie pectoralis major muscle. Since no one will believe that striatedmusciilar fibres are formed from the sarcoma cells originating from theconnective tissue, there remains scarcely anything else, from our pres-ent histogenetic ideas, than the hypothesis that muscle-germs from the
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