Contribution to the study of non-cancerous tumours of the breast / by Charles Monod ; translated from the Archives gén. de médecine, January, 1875, by Charles Cullingworth ; to which is appended an account of an ovarian cyst in an infant newly born, by Charles J. Cullingworth.

  • Monod, Charles Edmond, 1843-1921.
Date:
1875
Catalogue details

Licence: Public Domain Mark

Credit: Contribution to the study of non-cancerous tumours of the breast / by Charles Monod ; translated from the Archives gén. de médecine, January, 1875, by Charles Cullingworth ; to which is appended an account of an ovarian cyst in an infant newly born, by Charles J. Cullingworth. 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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    the study of the intervesicular tissue than to the alteration in form of the glandular portion of the breast properly so- called. A first trace of the necessity of that distinction is found in a communication made to the Societe anatomique by M. Verneuil, at a time when Lebert’s views were yet in full favour. Giving the result of the microscopical examination of a tumour, he said,* “ In the portions of the tumour which preserved a glandular appearance, the form of culs-de-sac is maintained, while the elements of the walls are altered and have been replaced by those of the fibro-plastic tissue. This remark is important with regard to the erroneous prognosis to which the purely glandular appearance of the tumour would have given rise ; concerning himself only with the form, the surgeon might have fancied that he had only to do with a hypertrophic tumour, while in reality he was dealing with a fibro-plastic tumour, more liable to return.” The indication there was correct and useful to be remembered, and it called for new investigations. Billroth, first of all, in his well-known memoir,t gave us a collective account of non-cancerous breast-tumours from sundry remarkable points of view. The alterations in the gland-ducts are there laid down in all their details ; accord- ing to hirn they are but accessory lesions, simple alterations in form, consecutive to the development of neoplastic pro- ducts in the intermediate tissue; the dilatation and lengthening of these ducts explain the formation of the cysts and clefts which traverse these tumours. Billroth did not the less give them, on account of their external resemblance to the gland, the name of adenoid sarcomata, to distinguish, he said, this variety of sarcomata from sarcomata spoken of as fibrous, gelatinous, encephaloid, and medullary. Here, at any rate, was a mistake in words. Indeed, if these last forms of sar- comata constitute distinct varieties, the sarcomatous tissue in * Verneuil, “Bulletin Soc. anat.,” 1858, p. 329. + Billroth, T., “ Untersuchungen iiber den feineren Bau und die Entwicklung der Brustdriisen-Geschwiilste.” Virchow’s “Archiv,” Bd. xviii. Berlin, i860. P. 5 I If/