File:The breast- its anomalies, its diseases, and their treatment (1917) (14570389948).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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ma of the breast, 519 et scq. THE NON-INDIGENOUS TUMORS OF THE MAMMARY GLAND 421 ing the more extensive operation performed in cases of carcinoma; the causes of deathafter operation, which are likewise the same in the two conditions, are in their order offrequency as follows: pneumonia, uraemia, sepsis, shock and hemorrhage. For a moredetailed discussion of the immediate complications following operations for malignanttumors of the breast, the reader is referred to the chapter on carcinoma. General Consideration of Prognosis.—The ultimate fate of a patient with sarcomaof the breast depends, in the main, upon the same set of factors that determine theprognosis of mammary carcinoma. As a class the sarcomas are less malignant than thecarcinomas. If the length of life of the average patient be the only factor taken intoaccount in estimating the malignant attributes of the two neoplasms, the prognosis isdcidedly more favorable in sarcoma than in carcinoma, for Gross estimated the average
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Fig. 158.—Recurrent alveolar sarcoma of the breast showing outgrowths, local infiltration, and ulcera-tion in the final stages of the disease. Patient aged 71 years. (Grieg: Edinb. M. J., 1913, i, 148.) duration of life of a patient with mammary sarcoma to be seven years as contrasted withan average duration of 37 months for the carcinoma. The probability of cure islikewise greater, according to Gross, in sarcoma than in carcinoma, 13.8 per cent, ofhis sarcoma cases having been cured by operation, while only 10.4 per cent, of the car-cinoma cases in his series remained free of recurrences. The operative results in malig-nant diseases of the breast have materially improved since Gross time, nevertheless webelieve that the figures quoted above come nearer to expressing the real prognostictruth for the average results obtained by operation at the present time than do thehigher percentage of cases reported by some other writers. We are inclined to agreewith Sheild that an attempt to giv

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