Cystic tumours of the breast / by Thomas Bryant.

  • Bryant, Thomas, 1828-1914.
Date:
[1886]
Catalogue details

Licence: Public Domain Mark

Credit: Cystic tumours of the breast / by Thomas Bryant. 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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    PIull, the mother of five children, her youngest child now four- teen years of age. After giving up nursing had discharge from her nipple of a clear greenish or blood-stained fluid. Six months ago this discharge ceased, and the breast enlarged, inflamed, and suppurated. It was opened at that time by Mr. W. H. Rudd (April, 1883) and the abscess healed, leaving a lump. This increased in spite of treatment, and is now the size of a large egg. It appears to be (February, 1884-) cystic. Incision into the cyst was advised, and excision of the lobe advised if growth was found. Nothing was, however, done, but the cyst burst and discharged bloody fluid, and this has been going on up to the present (October 12th, 1884). Case 37. Cystic sarcoma.—Mrs. S—, eet. 70, has had three children, which she never suckled. In 1875 she consulted me for a tumour in her right breast which she had had four years; when seen by me it was the size of a cocoa-nut, clearly cystic, and nodular. No lymphatic glands were enlarged. Skin normal. Operation not advised on account of age. Case 28. Cystic fibroma of right breast with cystic degenera- tion of the gland; excision of tumour; cured. (Reported by Mr. Metzgar.)—Rebecca B—, set. 40, was admitted into Lydia Ward on June 21st, 1884, under Mr. Bryant’s care. Patient’s father and two brothers died of phthisis, and she frequently suffers from bronchitis and neuralgia. She is married and has one son alive and healthy. Six weeks ago she noticed an uncomfortable swelling in her right breast, which appeared as a prominent tumour in the upper half of the gland. This tumour has not increased much since then, but it has seemingly got softer. On admission.—The tumour is hard and nodulated, firmly embedded in the gland but freely movable with it upon the pectoral muscles. The skin over it is normal. The axillary glands are not enlarged. Nipple natural. Urine normal. June 24th.—Under chloroform an oblique exploratory inci- sion was made into the tumour. The tumour when incised appeared granular and fibrous, a fibroma apparently growing from or into a cyst; the breast itself had undergone cy^stic degeneration. The tumour was then freely separated from the