The Practitioner Volume 54

The Practitioner Volume 54

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1895 edition. Excerpt: ... of the glands. Both of these facts are to some extent evidence against the theory which would attribute the origin of cancer to some " constitutional " condition. The tumours in this case did not present some of the usual features of seirrhus, and until I had made an exploratory incision into them I was not at all sure of their nature, and rather leant to the view that they were chronic abscesses. I was led into this error by laying too much stress on the smooth rounded outline of the tumours, and by their elastic feeling, which on the left side I mistook for real fluctuation. On the right side, too, I thought the growth was movable in the breast itself. I ought to have attached more weight to the hardness of the tumours, to the adhesion of the skin and slight retraction of the nipple on the left side, and to the enlarged and hardened glands in each axilla. The fact that such an error in diagnosis was made is another piece of evidence to show the importance of exploring every breast tumour before removing it. The chief interest of the case, however, belongs to the question of treatment. By some authorities it is laid down as a canon that operation should not be undertaken for cancer of both breasts. Such a statement can only be justified on the ground that double amputation of the mamma is too severe an operation to be safely recommended, or that "in these cases the operation will certainly fail in its aims. In these days of almost bloodless and aseptic surgery the excision of the breast and axillary glands is no longer a major or capital operation, and, even when double, cannot rank in severity with many others that are constantly practised. This patient's speedy convalescence, and the fact that she was able more

Product details

  • Paperback | 222 pages
  • 189 x 246 x 12mm | 404g
  • United States
  • English
  • black & white illustrations
  • 1236814495
  • 9781236814494