The science and art of surgery - being a treatise on surgical injuries, diseases, and operations (1878) (14782215972)

Identifier: scienceartofsurg02eric (find matches)

Title: The science and art of surgery : being a treatise on surgical injuries, diseases, and operations

Year: 1878 (1870s)

Authors: Erichsen, John Eric, 1818-1896

Subjects: Surgical Procedures, Operative Surgery

Publisher: Philadelphia : H.C. Lea

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

Text Appearing Before Image:

590 DISEASES OF THE BREAST. moval cannot, indeed, at any stage, l)e undertaken without much danger.In dissections requisite for the extirpation of such masses, as in Fig.667, 1 have had to expose the axillary and subscapular vessels and theiraccompanying nerves. The cancerous growth being usually somewhatwidely disseminated, it is difficult to be certain that the whole is fairly-extirpated: hence recurrence is likely speedily to take place. Chronic Strumous Disease of the axillary glands is occasionally metwith, forming a large lobed mass under the pectoral muscle. Such atumor as tliis may easily and safely be enucleated, and should be removedif it have resisted all ordinary topical and constitutional treatment. Itwill be found to be infiltrated with tubercle. Simple Tumors of various kinds are met with in the axilla. The mostcommon are lymphadenoraata of the axilUuy glands, fatty, and fibro-cellular tumors.

Text Appearing After Image:

Pig. 66S.—Primary Cancer in Axilla in a Man. Lymphadenoma of the Axillary Glands is chiefly met with inyoung women, forming a smooth, lobed, movable mass, usually aboutthe size of an orange, in tiiis situation. If left untouched, a process ofplastic deposit goes on in the tumor until at last it may attain a greatbulk. These tumors may readily be removed by enucleation. The Fibro-eellular Tumor will sometimes attain a great magnitudein the axilla, forming a large, smooth, rounded mass, stretching themuscles and displacing the vessels and nerves, as in Figs. 669 and 670.In this case the tumor, which was of very slow growth, developed be-tween the serratus and the ribs, stretching the muscle over it so as toform a species of capsule to it, drawing the scapula forwards, depressingthe chest-wall, and drawing the axillary vessels down to about three HERNIA. 591 inches below the clavicle. In removing it I was obliged to take awaya piece of the expanded serratus as large as the hand Tlie pa

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1878

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