. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. -mph()mata carciiiomatosa. Bockenheimer, Atlas. Tab. o t/. Ktbman Company, New-York. cysts) injuries, mechanical irritation, frequent par-turition with prolonged suckling ot infants. Cancerof the breast is attributed by the public to injuries(blows), but these are often too recent to be acceptedas an etiological factor, considering the slow growthof the carcinoma. It is a remarkable fact that of sterile women only10 per cent, have cancer of the breast. In 10 percent, of the cases


. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. -mph()mata carciiiomatosa. Bockenheimer, Atlas. Tab. o t/. Ktbman Company, New-York. cysts) injuries, mechanical irritation, frequent par-turition with prolonged suckling ot infants. Cancerof the breast is attributed by the public to injuries(blows), but these are often too recent to be acceptedas an etiological factor, considering the slow growthof the carcinoma. It is a remarkable fact that of sterile women only10 per cent, have cancer of the breast. In 10 percent, of the cases there is said to be a hereditarytendency. Women are most often affected at the menopause(fortieth to fifty-fifth years), and come to the suigeonwith nodules in the breast which have been hithertopainless and are only accidentally observed. Thesenodules very soon form a malignant growth ofhard consistency and irregular surface. The mostimportant sign of a malignant new growth is theabsence of any demarcation or encapsulation. Thetumor cannot, like all benign tumors, be separatedfrom the mammary tissue and moved freely, but isfixed immovably in the glandular tiss


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