File:Cyclopædia of obstetrics and gynecology (1887) (14781639941).jpg

Identifier: cyclopdiaofobs09gran (find matches)
Title: Cyclopædia of obstetrics and gynecology
Year: 1887 (1880s)
Authors: Grandin, Egbert H. (Egbert Henry), b. 1855, ed Bandl, Ludwig Billroth, Theodor, 1829-1894 Börner, Ernst, 1843-1914 Breisky, A Charpentier, Arthur Louis Alphonse, 1836-1899 Chrobak, Rudolf Gusserow, A Hegar, A. (Alfred), 1830-1914 Kaltenbach, Rudolph, 1842-1896 Müller, Peter, 1836-1922 Olshausen, Robert Michaelis von, 1836-1915 Winckel, F Zweifel, Paul
Subjects: Obstetrics Women Gynecology Obstetrics
Publisher: New York, W. Wood & Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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r. About 3 years before (inher 19th year), she noticed a striking enlargement of both breasts; thiscame on slowly, without pain, and without any annoyance to her. The menses have been absent for five months, and noAV the breasts havegrown so enormously that the patient is bent forward and is unable towork. When she came to the clinic, the breasts were so large that theyreached down over the umbilicus, and were more prominent and farharder than in the first case. Within the soft granular parenchyma of the gland on both sides couldbe felt hard, movable nodules the size of a fist. The nipples and areolaewere deeply )3igmented, the first spread out. (Unfortunately also in thiscase it was not noted if colostrum could be pressed from the nipples).The circumference of the left breast at its base was 25.5-1: inches, and of TUMORS OF THE MAMMARY GLAND. 73 the right 20.72 inches. From the upper boundary over the nipple downto the lower boundary was 28.68 inches on the left side, 29.80 inches on
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Fig. 25.—Hypertropay of both Breasts. Girl 16 years old. the right. The greatest circumference on the left side was 32.22 in-ches, and 33 inches on the right. The skin over the breasts was some-what thickened but not especially adherent to the glandular tissue. Ex- 74 DISEASES OF THE FEMALE MA.AIMARY GLANDS. tensive venous plexuses were seen tlirough the skin. The patient had nopains in the breasts, but the weight was so great that she was obliged to

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