File:The breast- its anomalies, its diseases, and their treatment (1917) (14756711382).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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ases of carcinoma. Recent experience with the therapeuticuse of the X-rays and radium in malignant tumors of the breast shows that sarcomatousgrowths are more amenable to these agents than are carcinomatous growths. In thelatter disease, as we have shown elsewhere, partial operations are either futile or actuallyhasten the course of the malignant process. This is not the case with sarcoma in whichthe same plan of treatment has met with success. An extension dissemination of sar-coma cells in the superficial tissue does not in itself contra-indicate operation. The results obtained by the operative treatment of mammary sarcoma are uniformlybetter than in carcinoma of the breast. In both conditions, however, there is a decidedneed of improvement. The fact that local recurrence of mammary sarcoma promptlyfollows a large percentage of operations and that death from internal metastasis is by nomeans rare, indicates either that many patients are subjected to operation at a time when Plate IV
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Fibro-sarcoma of the male breast. Deaver and McFaiiland. THE NON-INDIGENOUS TUMORS OF THE MAMMARY GLAND 431 widespread dissemination of the disease has already taken place, that the operationsare incomplete, or that the wound becomes infected with sarcoma cells at the timeof operation. The clinical demonstration of early internal metastasis is often impossible, so that thereis no way of preventing unnecessary operations in cases of this kind. Local recurrencesare due in the vast majority of instances, we believe, to incompleteness of the operation. It is the common practice among surgeons in dealing with mammary sarcoma either,to excise the tumor or to perform simple amputation of the diseased breast together,in certain instances, with removal of the underlying deep pectoral fascia. Cleansing of theaxilla is either omitted or is reserved for use in cases where the axillary lymph nodes arepalpably enlarged. Inasmuch as sarcomas as a class rarely metastasize by way. of thelymphatics, it

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