File:Cyclopædia of obstetrics and gynecology (1887) (14598162768).jpg

Identifier: cyclopdiaofobs09gran (find matches)
Title: Cyclopædia of obstetrics and gynecology
Year: 1887 (1880s)
Authors: Grandin, Egbert H. (Egbert Henry), b. 1855, ed Bandl, Ludwig Billroth, Theodor, 1829-1894 Börner, Ernst, 1843-1914 Breisky, A Charpentier, Arthur Louis Alphonse, 1836-1899 Chrobak, Rudolf Gusserow, A Hegar, A. (Alfred), 1830-1914 Kaltenbach, Rudolph, 1842-1896 Müller, Peter, 1836-1922 Olshausen, Robert Michaelis von, 1836-1915 Winckel, F Zweifel, Paul
Subjects: Obstetrics Women Gynecology Obstetrics
Publisher: New York, W. Wood & Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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nutriment; there is thus a kind of chronic hyperae-mj/i and a chronic, partial indurated oedema. In this way the similarityto a chronic inflammatory process amounts to identity. We will bestnotice this, when the degenerative process attacks the skin; here the skinbehaves exactly as it does before the outbreak of a chronic eczema on theleg, or before the beginning of ulceration in varicosities. The nature ofthe ulceration over these infiltrated cancers of the breast is exactly thesame as on the leg under the circumstances mentioned. On the red, stiff 10(J DISEASES OF THE FE.AIALE MAMMARY GLANDS. skin, vesicles, bullfe, scabs, clefts and fissures are formed, under whichat first superficial, and then constantly deepening, ulcers develop by slowbreaking down of the tissue. In the interior there is also such a partial breaking down of the infil-trated tissue (both of the epithelial and connective tissue elements). Theresults of this are manifohl. Tf the cell proliferation is very rapid and
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Fig. 51.—Crater-formed Jungous Cancerous Ulcer of the Mamma. luxuriant, there is consequently great compression of the nerves and ves-sels contained therein; the latter are gradually distended by the partialcompiession, and if the pressure increases, stasis and thrombosis occur.In this way the flow of the fluid nutriment to the vascular territory ceases,and the cancer cells first take on fatty degeneration and then break down.Tliis breaking down finally extends to the thronibotic vessels. The product of this breaking down is a clear yellowish substance likemasses of tubercle in the large-nodular, soft (acinous) carcinomas. There TUMORS OF THE ^FAMMAKY GLAND. 107 are cases in whicli this breaking down occurs very rapidly, and with ^^~udation, so that the cavities eventually break externally, like a coilabscess; the contents are then evacuated, the edges of the healed nodultare turned outwards so that a crater-like ulcer is formed; then an agaric-like growth, as is so characteristic o

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