The operative treatment of cancer of the breast : with an analysis of a series of one hundred consecutive cases / by J. Collins Warren ; (assisted by Walter B. Odiorne and William F. Whitney).

  • Warren, John Collins, 1842-1927.
Date:
1904
Catalogue details

Licence: In copyright

Credit: The operative treatment of cancer of the breast : with an analysis of a series of one hundred consecutive cases / by J. Collins Warren ; (assisted by Walter B. Odiorne and William F. Whitney). 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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    in Shanghai, and she is now alive and well, about a year and a half after the second operation. Was this to be regarded as a recurrence or as a new infection? Case 74 (fifty-six years of age) was a medullary cancer taken early and while the growth was small. An operation was performed in Tokio by a Japanese surgeon on account of the appearance of the disease in the opposite breast, nearly five years later. There was no recurrence in the first operation scar. At last accounts she was failing. Case 84.—This was a case of scirrhus with infection of the axillary glands in a woman forty-seven years of age. The opera- tion was performed in April, 1899. A nodule was removed in August, 1902, from the pectoral region, and a section of the sec- ond rib was removed in January, 1903. Since then there has been no sign of disease. Case 89.—Sixty years of age. Duration, one year. Mass size of egg in lower outer quadrant; two areas of infected skin size of three-cent piece below and inside nipple. No glands. Operation, October, 1899. Small nodule removed from pectoral region by Dr. Odiorne in October, 1903. Alive and well at pres- ent time. Disease, scirrhus. Case 92.—Sixty-one years of age. Duration, eighteen months. Mass size of egg in upper outer quadrant. No glands. Operation, November, 1899. Nodule removed from scar in pec- toral region by Dr. W. B. Odiorne in July, 1903. Case 94.—Patient, thirty-six years of age. Duration, two and a half years. Mass size of walnut in scar of an incomplete operation seven months before. Adherent to ribs. Diagnosis, adenocarcinoma. No recurrence for three years, when disease reappeared in cicatrix. No secondary operation has been per- formed. It will be seen that four of these cases are alive and well at the present time, but as none of them has gone through a period of more than eighteen months since the last operation, they cannot be regarded as cured. They are all cases, however, which furnish ample justifi- cation of the operation performed, for in two cases there was a respite of eight years from disease, and in one of five years; and one of these patients is alive and well nine years after her