File:The breast- its anomalies, its diseases, and their treatment (1917) (14756719722).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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rs occupying the upper inner quadrant of the organ. The benig-nancy of the tumor must be confirmed or disproved, in all cases, at the time of the opera-tion by microscopic and macroscopic examination. In the treatment of women past theage of 35, our practice is more radical in some instances than the structure of the tumorwould seem to warrant. In 11 instances among 70 cases, radical amputation was done THE NON-INDIGENOUS TUMORS OF THE MAMMARY GLAND 465 and the sacrifice of the pectoral muscles was an unwarranted procedure in these cases.These patients are alive and well, hov/ever. Simple amputation was performed in 12of the 70 cases. This operation should be given a more prominent place in the treatmentof benign mammary tumors. It is indicated especially when the patients are approach-ing the menopause when the tumors are multiple, when they are associate d with abnor-mal involution of the breast, where the growth is of the so-called diffuse type, and finallyin cases of large tumors.
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Fig. 169.—The breast has been elevated and displaced inward; its posterior surface exposed. AV-shaped segment of tumor-bearing tissue has been outlined preparatory to its removal. (Warren.) Plastic Resection (Warren).—^The removal of the majority of small or medium-sizedbenign tumors, of localized areas of abnormal involution or interstitial mastitis;thedrainage of certain forms of mammary abscesses; the excision of segments of breast tissuecontaining chronic abscesses, foci of tuberculosis or other granulomata, and the subcu-taneous resection of male breasts that are the seat of chronic indurations (so-called dif-fuse fibro-epithelial tumors), or hypertrophy (gynecomastia), can be most satisfactorilyaccomplished through an incision made along the lower and outer margins of the organ. This method of approach to the posterior aspects of the breast, first described byT. Gaillard Thomas, is now universally used in the modified and improved form de-vised by Warren. The term plastic re

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