The operative treatment of cancer of the breast : with an analysis of a series of one hundred consecutive cases / by J. Collins Warren ; (assisted by Walter B. Odiorne and William F. Whitney).

  • John Collins Warren
Date:
1904
Catalogue details

Licence: In copyright

Credit: The operative treatment of cancer of the breast : with an analysis of a series of one hundred consecutive cases / by J. Collins Warren ; (assisted by Walter B. Odiorne and William F. Whitney). Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    7/44 page 809
    nodules have been removed. These cases will be referred to more at length under the head of “ recurrence.” We have therefore at the present time twenty-three cases that are alive and well and seven that have died of other causes than cancer,—a total of thirty out of 100 cases, or nearly one-third. Of the remaining nineteen cases in which the patient is alive and well without recurrence over three years after opera- 1 is alive and well 20 years after operation. 1 1 “ 1 “ 1 “ 2 are 2 “ 3 “ 5 “ 1 is 1 “ 19 18 14 11 10 8 7 5 4 3 It will be observed that the majority of living “ cures,” twelve out of nineteen, range on this list from five to ten years after operation,—there being only five living over ten years after operation. This small number is to be accounted for by the average age of the patients, fifty-three years, as those who have sur- vived the operation ten years are always liable to the suscep- tibilities of elderly people, as the table of deaths from “ other causes” shows. Recurrence, as will be seen lower down, has played no part in the mortality of the more mature cases, for in no case has a recurrence been seen after a period varying eight to nine years after the operation. The pathological status of the cases cured is interesting, and a study of this point is suggestive as valuable aid to the prognosis in any given case. In two cases the diagnosis was “ colloid cancer;” in six cases “ cancer;” in twelve cases “ scirr- hus;” in three cases “ medullary cancer;” in one case Paget’s disease, and in two cases adenocarcinoma.
    digitised image 1
    digitised image 2
    digitised image 3