The breast- its anomalies, its diseases, and their treatment (1917) (14570362930)

Right breast carcinoma and pathological fracture of left humerus

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

Text Appearing Before Image:

sult of extension of the cancer cells through oneor other of the intercostal spaces. The digitations of the serratus magnus muscle arisingfrom the fifth and sixth ribs and the fascia overlying them are subject to cancerous in-vasion especially in cases where the tumor occupies the lower outer quadrant of thebreast. Henderson failed to prove this relationship, however, and there are no otherstudies available; nevertheless, we believe that the digitations of the serratus magnusmuscle should be removed when the tumor overlies them as it does in 9.2 per cent, ofcases. Bone Metastases.—Cancer of the breast and of the pyloric end of the stomach becomethe most widely disseminative of all cancers and yet bone metastasis though exceed-ingly rare in the latter is common in the former. There must therefore be some essentialdifference either in the disease processes themselves or in the mechanism of metastasis.Spontaneous or painless fracture of the long bones is caused in the great majority of

Text Appearing After Image:

Fig. 193.—Pathological fracture of the leftpiumerus below the point of insertion of the pectoralis majoimuscle. Recurrent carcinoma of the right breast. instances either by syphilis or metastatic cancer from the breast. The latter is the usualcause of spontaneous fracture of the femur or humerus in aged women, so that the breastsshould never be omitted in the examination of a patient with spontaneous fracture of eitherof these bones, since the tumor in the breast may have been symptomless and so small thatit escaped attention. In cancer of the breast the ribs and sternum are often involvedas a result of direct extension from the primary tumor. This would seem to confirmHandleys assertion that the liability of a bone to cancerous involvement increaseswith its proximity to the site of the primary growth. The clavicle is, on the otherhand, rarely diseased in mammary cancer and stands as an exception to the foregoingrule; an exception for which no satisfactory explanation has been given

Internetarchivdokument Breastitsanomali 00 deav metastases of breast cancer pathologic fractures die Brust 1917 Buchillustrationen Medizin Röntgen Syphilis sexuell übertragbare Krankheiten und Störungen Pathologie Krankheiten Bilder aus dem Internetarchiv

1917

Francis A. Countway Library of Medicine

http://commons.wikimedia.org/

public domain