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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    sibility of thus saving all breasts in which the growth is not malignant. In this way, and by means of the Thomas incision, the mammary gland may be inspected from behind, benign morbid growths removed, and the organ restored to its original contour. The writer has devised an operation for this pur- pose, which he proposes to describe at length in another article as “ Plastic resection of the mammary gland.” Prognosis.—Of these ioo cases there are twenty-six that can be regarded as cured, that is, the patients are either alive now (free from recurrence) or have died from other causes than cancer at a time three years or more after the operation or after the removal of recurrent growths. These cases are Nos. i, 2, 3, 4, 5, 9, 14, 19, 20, 35, 38, 39, 42, 44, 54, 59, 60, 64, 66, 76, 77, 79, 81, 93, 97, 98- Two of these cases had recurrences,—one in the axilla and one in the pectoral region. The former appeared five years and the latter nine years after operation. These nodules were removed, one fifteen years ago and one ten years, and both patients are alive and well at the present time. Seven of the twenty-six cases have died of causes other than cancer, there having been no recurrence in any case at periods from four to fourteen years after the operation. These cases have been subjected to searching inquiry, and the writer is satisfied that death was in no case due to cancer. Cause of Death in “ Cured” Cases. Case 2.—Apoplexy, 10 years after operation. Case 5.—Cholera, 6 years after operation. Case 9.—Pulmonary haemorrhage, 14 years after opera- tion. Case 20.—Grippe, 13 years after operation. Case 42.—Pneumonia, 10 years after operation. Case 60.—Apoplexy, 8 years after operation. Case 77.—Pneumonia (myxoedema), 4 years after oper- ation. In addition to these cases there are four patients, who are alive and well without further recurrence, in whom recurrent