Iconograms : a collection of colored plates illustrating interesting surgical conditions / explanatory text, with special reference to diagnosis and treatment, by Faxton E. Gardner.

  • Gardner, Faxton E. (Faxton Eugene), 1878-
Date:
[1913]
Catalogue details

Licence: Public Domain Mark

Credit: Iconograms : a collection of colored plates illustrating interesting surgical conditions / explanatory text, with special reference to diagnosis and treatment, by Faxton E. Gardner. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    the subjacent iii.iinin.ny tissue, by means of an oval incision with subsequent suture. KecuiTence is rare after early treatment. In doubtful cases with induration of llic maininilla excision should always be pcrforinod. Fig. 13. Paget's disease, nr chronic eczema of the nipple, wliicli is rofrac'lory lo all trfalinciit. Tlii' (■(•zciiia lii'i;iiis on tliu nipple and .uTadually extends to the areola and surrounding skin. Retraction of the nipple and dra.irs'ing i)ains are caused by the pres- ence, under the nipple, of carcinouia (cyiiuder-epithelioma), which at first has no connection with the nipple, but later on may become attached to it. The mammarj'^ gland in this ease shows hard infil- tration around a nodule. In the normal parts of the skin there are small dimples. Obstinate eczema of the nipple accompanied by a tumor in the breast, with infiltration of the axillary glands and early cachexia, make the diagnosis clear and indicate removal of the whole mammary gland with the axillary glands. In cases of chronic eczema of the nipple resisting all treatment, excision of the mammilla is advisable. Out of 884 cases of mammary carcinoma in v. Bergmann's clinic there were only seven typical cases of Paget's disease. Two of the author's cases showed cancer of the mammary gland without connection with the eczematous ni])]ile. Fig. 14. This is a case of tubular carcinoma with cutaneous dissemination which has extended in all directions and spread over the thorax. The development of nodules in the skin occurs early. These appear at first as punctiform, bluish, glistening elevations, which increase in number and size and coalesce, forming a kind of cuirass inclosing the thorax in a rigid mass {Cancer en cuirasse). These cases are inoperalile. Fig. 15. This is a case of inoperable cancer en cuirasse, in whi<'h both mamma> are affected with carcinoma. On the right side there has been a recurrence of the growth in the scar soon after opera- tion, where a soft, fungating, easily bleeding ulcer is seen. In the surrounding skin there are several isolated nodules. The left mam- mary gland is involved in a hard, immovable, carcinomatous infiltra- tidii. Tlie transmigration (if a caicinoma from one side to the other is possibly cx]iliiIiH'd liy the ]>ersistence of congenital lyiiii)liatics.
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