Licence: Public Domain Mark
Credit: Outlines of human pathology / by Herbert Mayo. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![c. At the period when the disease in the gland becomes active, it sometimes happens that atrophy or wasting of the surrounding parts takes place. The adipose tissue is absorbed, the breast becomes much less in size than the sound mamma: the skin comes into immediate contact with the scirrhus, and adheres to it, and participates in the same action; the scirrhus adheres to the pectoral muscle; and round the firm flat lump to which the part is reduced the skin of the neck is studded with little hard tubercles, the nearest of which as they enlarge coalesce in patches. Sometimes partial atrophy of the gland itself takes place. [Y. 8.} The mode in which such a tumour ulcerates is peculiar. It seems as if the cuticle were merely separated from some of the groups of carcinomatous tubercles : they remain raised, and red, and smooth, but are moist and discharge. In time the ulceration goes deeper, and destroys the raised part; and if the patient's strength bears up, a great part of the chest presents the appearance of a flat discharging ulcer, the surface of which is red and covered with firm, flat, red granulations, based upon a thin layer of almost cartilaginous firmness; the edge is irregularly eaten away, slightly raised, part inverted, part everted. [Y. 9.] d. Sometimes, as a modification of the preceding variety, atrophy taking place of the fat upon the fore part of the tu- mour, the skin comes into contact with it, adheres to it, be- comes red ; and there is presented the appearance of a dry, red, hard, rounded tumour, projecting out of the partly-wasted breast: the skin around healthy, only having become incor- porated with the tumour, where it has been drawn into con- tact with it; the tumour being movable on the pectoral muscle. The dry surface begins to discharge at different points, then the lump ulcerates or sloughs. e. When the neck has been previously full, and the adi- pose tissue has been less absorbed than the gland has been atrophied, the integuments and fat form large irregular folds, the furrows between which converge to a point often near to the nipple, where ulceration is commencing. y*. In a lady of a remarkably full person, whom I saw in consultation with Dr. Langmore, of Finsbury Square, the](https://iiif.wellcomecollection.org/image/b21066735_0608.jp2/full/800%2C/0/default.jpg)
