. The breast: its anomalies, its diseases, and their treatment . operated upon by Abra-ham; the oldest, a widow, aged 64 years, by Ingier. Both Scudder and von Eberts re-mark that the patient of Remy and Noel, a woman, aged 54 years, is the oldest case onrecord. The cases of Geissler, Ingier, and Scott in our series exceed this age. No caseof tuberculous mastitis in the female has been observed before the age of puberty, and 208 THE BREAST the oldest case on record is that reported by Sheild, in a woman aged 73 years. Demmereports a case the result of direct inoculation in a male infant, four


. The breast: its anomalies, its diseases, and their treatment . operated upon by Abra-ham; the oldest, a widow, aged 64 years, by Ingier. Both Scudder and von Eberts re-mark that the patient of Remy and Noel, a woman, aged 54 years, is the oldest case onrecord. The cases of Geissler, Ingier, and Scott in our series exceed this age. No caseof tuberculous mastitis in the female has been observed before the age of puberty, and 208 THE BREAST the oldest case on record is that reported by Sheild, in a woman aged 73 years. Demmereports a case the result of direct inoculation in a male infant, four days old. The following tables prove the correctness of von Eberts statement that the periodof reproductive activity embraces the vast majority of cases. Age Incidence Primary Cases 10 to 20 years 2 20 to 30 years 11 30 to 40 years 15 40 to so years 12 SO to 60 years 4 60 to 70 years 2 Not 248 per cent. Secondary Ctses 10 to 20 years 4 20 to 30 years 9 30 to 40 years 8 1 > per to so years 4 J SO to 60 years 3 60 to 70 years i. Fig. log.—Tuberculosis of the breast showing a part of the following section under a higher power. These tables also disprove the assertion of the older writers and of more recentobservers, among others St. Jacques, that tuberculosis of the breast is a disease ofadolescence and young womanhood. Social ConditionPrimary Cases Single 7 Parous 23 or per cent. Married 20 \ . ^ Nulliparous 21 Widows ^ I per cent. ^^^^^ ^ Males I — Not mentioned. ... 9 45 THE INFECTIOUS DISEASES OF THE BREAST 209 Secondary Cases Single 7 Parous 8 or per cent. Married 16 or per cept. Nulliparous 19 Widows o Males 2 Males 2 Not mentioned. ... 4 29 29 Whether the influence of fecundity as indicated by the above tables acts in the roleof a real predisposing cause, or that it is merely coincidental to the age at which the disease


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectbreast, bookyear1917