Polymastism : with special reference to mammae erraticae and the development of neoplasms from supernumerary mammary structures / by W. Roger Williams.

  • Williams, William Roger, 1854-1948.
Date:
[1891]
Catalogue details

Licence: Public Domain Mark

Credit: Polymastism : with special reference to mammae erraticae and the development of neoplasms from supernumerary mammary structures / by W. Roger Williams. 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.

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    generation, and in some places small cysts had formed. The ducts were seldom excavated, and their cells were also in granular degenera- tion. 2. A well-nourished single woman, aged thirty-eight, with a hard, movable, circumscribed tumour, the size of a large walnut, just above the right bosom. No enlargements of the adjacent lymph glands. Slight congenital retraction of both nipples. The tumour was first noticed three weeks previously. No injury or known cause for it. Catamenia always regular. Previous health good. Her father died, aged sixty-nine, of cancer of the stomach j and she has lost a sister with cancer of the breast. The tumour was dissected out. It proved to be a typical, solid, fibro-adenoma, unconnected with the breast. 3. A pale, fair woman, aged twenty-six, with two small, hard, nodular tumours above the left bosom, and entirely unconnected with the gland. The nipple and adjacent lymph glands normal. The tumours of three months’ duration. The patient had been twice married. By her first husband she had one child and two miscarriages. Her previous health had been good. She lost her mother of “ internal tumour.” The tumours were dissected out. Each had the appearance of ordinary fibro-adenoma. On microscopic examination glandular acini in the resting stage were seen, surrounded by nucleated fibrous tissue, which contained a few spindle cells. 4. A healthy-looking woman, aged forty-three, who had on the axillary side of the left breast, and unconnected with it, a smooth, hard, movable tumour, the size of a walnut. No enlargement of the adjacent lymph glands. It was first noticed two months previously. Both nipples were congenitally retracted. Catamenia regular. The tumour was excised—a typical, solid, encapsuled fibro-adenoma. 5. A healthy woman, aged forty, with a hard, racemose tumour, the size of a walnut, over the edge of the sternum, on the left side, quite outside the mamma. It was first noticed three years previously. The patient had married at twenty-one, and had cohabited with her husband ever since, but she had never been pregnant. On examina- tion of the tumour after removal, it was found to be an encapsuled, loculated fibro adenoma. The loculi were full of papillary ingrowths. On microscopic examination fibro-adenoma—the intralocular growths consisted of fibrous processes lined with cubical epithelium. 6. A single woman, aged twenty-seven, a dressmaker, with a circumscribed tumour, the size of a hazel nut, over the edge of the sternum on the right side, and unconnected with the mamma. It was first noticed nine months previously. The tumour was dissected out; and it proved to be a solid ordinary fibro-adenoma. 7. A single woman, aged thirty-two, who had a firm, nodular tumour, the size of a walnut, just below and quite outside the left bosom. It was first noticed two years previously. Her sister had a similar mammary tumour. It was dissected out, and proved to be an ordinary solid encapsuled fibro-adenoma, unconnected with the mamma. VOL. XXV. (N.S. VOL. V.) g