File:Hypertrophy of breast 11.jpg

Identifier: breastitsanomali00deav 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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Text Appearing Before Image: a-tion, some prove to be retro-mammary lipomas by which thebreast has been elevated, and in others there is insufficientinformation to enable us to be sure of their exact nature.They occur in both sexes and may attain to an enormoussize. They are commonly unilateral, but may be bilateraland symmetrical. A. Bilateral and Symmetrical Lipoma of the Breast.— I. In the Female.—The most remarkable case of this kindof which we have knowledge is reported by Hoenigsberger(Miinchener med. Wochenschrift, 1905, LII, 222): The patient was a 12-year-old KaiEr girl whose breasts were so largeand sopendulous as to resemble the most exaggerated cases of mammaryhypertrophy, reaching down to the pubes when she stood. Her generalappearance, her age, the bilateral character of the lesions and their enor-mous size suggest mammary hypertrophy, but the author says they werelipomas, and as he successfully removed them and has so recorded them,his report must be accepted unless he subsequently corrects it.

Text Appearing After Image: 2. In the Male.-Transactions, 188 -Baker and Bowlby (Medico-Chirurgical , LXIX, p. 41) report an interesting case: Fig. 138.—Bilateral enor-mous lipomas of the mammae.(Hoenigsberger.) A man who had in each pectoral region a mass as big as a fuU-sized female breast, with a nipplein its center. There were other diffuse fatty growths in the scrotum, on the abdomen, over the mastoidsand elsewhere. A similar case of bilateral symmetrical lipomas in the breasts as well as elsewherecame under the observation of Dr. Joseph Sailer, in the Philadelphia General Hospital,early in 1915, and to him we are indebted for an interesting photograph of the patientwho had gynecomastia as well as mammary lipomas. (Fig. 89, p. 148.) It is not stated in these cases whether the lipomas were true intra-glandular tumorsor not. Hoenigsberger says nothing about it, and though Sailers case died of heartdisease, no autopsy was permitted. The general appearance of the latter suggestssubcutaneous tumors, but when p

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