A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
Unilocular cysts occasionally attain an immense size at the same time
that their walls remain thin and supple. In some of these instances, the
fluid continues to the last, of a truly serous character; while in
others, it becomes more or less glairy or mucilaginous.
Sometimes the walls of the cysts have been found to have undergone
calcareous degeneration.
_The cysto-sarcoma_, occurs as an isolated, globular or oval, and more
or less movable cyst; or there are numerous growths of this kind,
varying in size from a pin’s head to a hen’s egg. The inner surface is
smooth, or it presents a broad-based, lobulated, cauliflower growth or
warty excrescences, and the substance of the surrounding gland is
indurated and atrophied. A retraction of the nipple may also be
observed. A transverse section shows a double sheath: one proper to the
cyst, and the other the result of condensation of the adjoining
textures. The contents are either fluid, of a limpid, opalescent,
non-albuminous, or a grumous, brownish, highly albuminous character; or
solid, approaching the character of a fibroid deposit, composed of a
pale, compact substance, traversed by undulating fibrous lines, which
imperfectly divide it into lobes of various sizes and shapes.
_Hydatid cysts_, containing the echinococus, occur in the female breast.
The tumor is firm to the touch, and contains a clear fluid, in which the
microscope detects the tenacula of the echinococus, the animalculum
itself being attached to the internal wall of the cavity.
_Fibrous_, _cartilaginous_ and _osseous tumors_, are of doubtful or very
rare occurrence.
=Carcinoma.= Cancer affects the mammæ more frequently than any other
organ of the body. The age from forty to fifty years seems most liable
to its occurrence. According to Dr. Walshe, the left side is more
frequently affected than the right, and both are but rarely involved.
All varieties of carcinoma have been met with in the breast; but
scirrhus is by far the most frequent form in which it occurs primarily.
The encephaloid variety is generally engrafted upon the scirrhus,
although it may also be primary. The colloid form is the most rare.
_Scirrhus_ appears as a hard, lobulated tumor, imbedded in the adipose
tissue of the gland, causing adhesion to the skin and retraction of the
nipple. Although at first movable, it soon becomes firmly adherent to
the subadjacent parts, and involves more or less the gland tissue, the
muscles of the thorax, and the adjoining glands. Instead of an isolated
tumor, there may be an infiltration of the various structures of the
part from the commencement. It will then have an ill-defined outline,
sending out branches into the adjacent tissues, and involving in its
mass the lacteal tubes and lymphatics. These become contracted and
flattened into many bands, giving a peculiar appearance to this form of
mammary cancer not observed in any other.
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