File:The breast- its anomalies, its diseases, and their treatment (1917) (14776977083).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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oming underobservation. It seems, therefore, that the pedunculated tumors may be congenital,may occur at the period of puberty, at the menopause, or at any other time, and thatthey may be of indefinite duration. The first appearance is that of a wart (Dreydorff, THE DISEASES OF THE NIPPLE AND AREOLA 679 Green, Lepage.), on or near the nipple, that grows slowly and indefinitely. The tumorsoccur in unmarried as well as in married women. In the cases reported by Pilz andSendler, the tumors grew larger during the menstrual periods. In the latter the tumorenlarged during pregnancy, as in Schmidts case, or AVith each succeeding pregnancy asin Greens case. The tumor seemed to involve the entire structure of the nipple in the cases reportedby Eberhardt and by Schmidt, who looked upon it as a form of hypertrophy of thenipple. In six cases the tumor is said to have grown from the tip of the nipple, in twocases from its side, in two cases from its base, and in five cases from the areola close to
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Fig. 276.—Pedunculated tumor of the nipple. (Hertzler.) the nipple. One of the patients observed by Hutchinson had the tumor growing fromthe areola above the nipple, and always had to lift it up, and hold it out of the way,when her baby nursed. Beginning with an appearance like a small wart the tumor enlarges and becomesnodular like a strawberry or more coarsely nodular like a pineapple. When very largeit becomes so very nodular and complicated as to resemble a cauliflower. The sizeattained is rarely great. Cliets patient, at puberty had a little tumor like a straw-berry hanging from the extremity of the left nipple; at 45 years—30 years later—it had 68o THE BREAST become the size of the fist. The tumor removed by Dreydorff, measured lo cm. inlength. They are usually attached by a slender pedicle that may be several centimeterslong, and in which, as in the cases reported by MacSwiney, OFerrall, and Shaw, pulsat-ing arteries may be felt. In the specimen in the Prague collection,

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