File:The breast- its anomalies, its diseases, and their treatment (1917) (14570292960).jpg

Identifier: breastitsanomali00deav (find matches)
Title: The breast: its anomalies, its diseases, and their treatment
Year: 1917 (1910s)
Authors: Deaver, John B. (John Blair), 1855-1931
Subjects: Breast Breast X-rays Breast Diseases Breast Neoplasms Radiotherapy
Publisher: Philadelphia, P. Blakiston's Son & Co
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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n 142,one breast in 40. Of the 25 unilateral cases, 8 were on the right, 17 on the left side;in 15 the side was not stated. Io8 THE BREAST The hypertrophy may progress uniformly, or rapidly for a time, th^n slowly, thenperhaps cease for a time and begin again. In some cases the occurrence of menstruationseems to act as a stimulus to growth. In a number of cases when the breasts attainedthe maximum size, menstruation ceased. It is not always clear, from the case reports,however, whether, this was because the patients became pregnant, or whether it was dueto some condition attending the disturbance of the breasts and inhibiting menstruation. It is unfortunate that we are not better informed concerning the natural tendency of-the affection. The enormous size of the breasts so mortifies and incapacitates the patientsthat they apply for operative assistance which is apt to be afforded them without waitingto see what nature would do. There are, however, nine cases that suggest that the con-
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FiG. 71.—Virginal hypertrophy of the breasts. dition sometimes tends toward spontaneous amelioration or cure. Thus, in one ofBillroths cases, in which the breasts reached to the pubes, operation being refused, theydiminished somewhat in size while the patient remained under- observation. In thecase reported by Delfiz, in which the breasts were still larger, the patient was kept underobservation for some time during which she aborted a five months foetus. She refusedoperation and was treated by frictional applications of an ointment containing hy-driodate of potassium. After a few months, the breasts diminished to about twice thenormal size. Hey, Hoy, Le Double, and Terrill removed one breast, after which theother was found to diminish in size. What would have happened to the removed breastif they had waited? In the case reported by Benoit and Monteils, in which the breasts were of immensesize, operation was strongly advised but refused. When the patient began to menstruatethere was

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