A clinical treatise on diseases of the breast / by A. Marmaduke Sheild.
- Sheild, A. Marmaduke (Arthur Marmaduke)
- Date:
- 1898
Licence: Public Domain Mark
Credit: A clinical treatise on diseases of the breast / by A. Marmaduke Sheild. Source: Wellcome Collection.
57/568 page 35
![Inspector-General Morgan reported a well-marked case of unilateral gynecomazia in the male. The patient was an able seaman, aged twenty-one, and his right breast had been enlarging since the age of sixteen. It has now the appearance and development of the breast of a woman, and occasions him no inconvenience excejjting when he goes aloft, when the breast knocks against the ropes. ^ An exactly similar case, where one mamnia only was hypertrophied, is reported as having occurred in a boy aged twelve, by Belcher.2 Double enlargement of the breasts in a boy of thirteen is also recorded as having occurred in Mr. Tuke's practice.^ Blomfield ^ draws attention to a peculiar enlargement of the male breasts met with in phthisis. Attention was first called to the subject by Leudet in a paper read at Grenoble in 1885. The affection consists of an enlargement of the glands without local induration or coloration of the skin, accompanied by a more radiating spontaneous pain. One gland is generally attacked, and suppuration never occurs. Blomfield quotes one case which fell under his own notice in a coachman aged fifty-six who had chronic phthisis. This man had rubbed the affected side with strong liniments, and it is questionable whether the friction and liniments so often aj)p]ied by patients in phthisis, may not be really the cause of these curious mammary enlargements. Leudet surmised that the pulmonary inflammation extended to the mamma, but his evidence seems not conclusive. Enormous hypertrophy of the breasts may occur in the male, and some of these cases are associated with atrophy of the testes (Laycock). Enlargement and hypertrophy of the mammte in youths after atrophy of the testes from acute orchitis has not escaped the notice of Jacobson.^ Mere heap- ing up of fat is generally observed, but other cases seem to be really glandular hypertrophy. Cases of gynsecomazia are ex- ceedingly rare, and are found in the writings of Eemauldin, Holtrop, and Gruber. A soldier aged sixty was admitted into the Westminster Hospital in the year 1837. He had been engaged in military duties in Spain, where he received a severe injury to the cervical spine. Three weeks after this accident his breasts began to swell and become painful and the testes wasted. At the end of ten weeks the mammaj had enlarged to the size of an ordinary female breast. The gland in each case was perfectly ^ Lancet, 1875, vol. ii. p. 767. * Brit. Med. Jaurn. 1890, vol. i. j). 36-1. •■' i\M. Times and Oazetle, 1860, vol. i. p. 11. •* Practitioner, vol. i. 1886, p. 336. Diseases nf the Male Orr/ans of (,'cneration, p. 451.](https://iiif.wellcomecollection.org/image/b20397306_0057.jp2/full/800%2C/0/default.jpg)
