. The breast: its anomalies, its diseases, and their treatment . ay through the parietal bone, elevating the scalp. It was removed and the patient recovered from theoperation. What subsequently befell the patient is not stated. The tumor, upon examination, provedto be round-cell sarcoma. These tumors sometimes spring from multiple foci, which may be in both may be exemplified by the case reported by Elsberg (Annals of Surgery, Phila.,1914, XL, 767). The patient had been nursing a child for eight months, and six months before multiple tumorsappeared in both breasts. These enlarged
. The breast: its anomalies, its diseases, and their treatment . ay through the parietal bone, elevating the scalp. It was removed and the patient recovered from theoperation. What subsequently befell the patient is not stated. The tumor, upon examination, provedto be round-cell sarcoma. These tumors sometimes spring from multiple foci, which may be in both may be exemplified by the case reported by Elsberg (Annals of Surgery, Phila.,1914, XL, 767). The patient had been nursing a child for eight months, and six months before multiple tumorsappeared in both breasts. These enlarged rapidly so that when the patient first entered the hospital, both breasts were much enlarged and filled with tumors of various sizes. The operation consisted of subcutane-ous extirpation of both breasts, and the patient was presented (before the New York Academy of Medi-cine, May 13, 1914) to show how small a deformity was left after such subcutaneous breast glands in the axilla were not enlarged. The pathological report was round-cell Fig. 150.—Sarcoma in a huge infra-canalicular myxoma of the breast. (Bloodgood.) The microscopic structure of these tumors is most simple, consisting of round cells,sometimes resembling lymphocytes, but sometimes very large and with considerablymore cytoplasm. The cells of each tumor are usually strikingly uniform, though some-times, especially where nutritive disturbances occur, they may vary, some being muchlarger than others and possessing large deformed nuclei. Occasionally, a giant cellis seen in such areas though none can be found in healthy parts of the tumor. Betweenthe cells there is an almost negligible quantity of inter-cellular substance of amorphouscharacter. At the periphery of the tumor the cells extend but a short distance betweenthe structural components of the tissues with which the tumors are continuous. Thistumor as it grows partly pushes the tissues aside, partly disorganizes and destroysthem. The
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectbreast, bookyear1917
