File:The breast- its anomalies, its diseases, and their treatment (1917) (14570409720).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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e use of large amounts of globulins may prove fatal, as in someof those reported in this series when 200 or 300 mg. were given intravenously at a time.The real value of either vaccine or ferment will be in their use in connection with opera-tive removal in order to destroy such cells as are not removed by operation and thusreduce the percentage of recurrent cases. It is his practice to give intra-peritoneal injection of residue 24 hours before opera-tion. If the increase in large mononuclear leucocytes reaches from 15 to 25 immediatelybefore operation, that is deemed sufiicient. If this does not occur then an intravenousinjection of 100 mg. of globulins is given following the operation. In all of his casesalternate vaccine and globulin injections have been given frequently for the first sixmonths after operation, and then once a month thereafter, as by this means it is possibleto see the patient frequently enough so that definite conclusions as to the progress of thecase can be drawn.
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Fig. 271.—Carcinoma of the breast treated with arsenic paste showing slough and incomplete removal of the diseased tissue. Caustics.—Escharotics have no place whatever in the treatment of carcinoma of thebreast in the operable stage, but may be used in some cases where the more definitedestructive agents such as the thermo-cautery, the electro-coagulation are not at handor cannot be used. In such cases escharotics are useful to destroy large masses oftissue, prevent fetor, lessen the discharge, and to a certain extent, hmit the growth of thetumor. What is of far greater importance, they diminish toxic absorption in ulceratedcancers. It is much better if the malignant mass can be removed by means of the knife,thermocautery or by electro-coagulation, but when this is not possible, the employment 666 THE BREAST of caustics will destroy much of the malignant tissue, and odor. Practically all drugsof escharotic properties have been extolled at one time or another in the treatment ofmah

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