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MEDICAL AND PHYSICAL
JOHN NORTH, ESQ. F.L.S.
MEMBER OF THE ROYAL COLLEGE OF SURGEONS,
JOHN SOUTER, 73, ST. PAUL'S CHURCH-YARD,
AND TO BE HAD OF ALL THE MEDICAL BOOKSELLERS.
Medical and Physical Journal.
No 371, VOL. LXIII.]
[No 43, New Series.
For many fortunate discoveries in medicine, and for the detection of numerous errors, the world is indebted to the rapid circulation of Monthly Journals; and there never existed any work, to which the Faculty, in Europe and America, were under deeper obligations than to the Medical and Physical Journal of London, now forming a long but an invaluable series.-Rush.
ORIGINAL PAPERS, AND CASES,
OBTAINED FROM PUBLIC INSTITUTIONS AND OTHER
SCIRRHUS OF THE BREAST.
Cases of Scirrhus of the Breast. By HERBERT MAYO, F. R.S. Surgeon to the Middlesex Hospital, &c.
THE following cases exemplify different forms of a complaint too frequent not to have been repeatedly witnessed by all the readers of this Journal. They are instances, 1, of simple scirrhus; 2, of scirrhus assuming a fungoïd character under a third head, I have described a tumor which, although probably not malignant, more nearly resembles scirrhus than any other morbid structure.
A woman, about forty-five years of age, had been afflicted several months with scirrhus of the mammary glands and of the integuments. The right breast was nearly flat, the nipple retracted; the integument immediately covering the gland, as well as the adjacent integument upon the right side and front of the body, was thickly studded with hard nodules. These nodules were a little elevated; most of them were about a third of an inch in diameter, one or two an inch, one an inch and a half; the largest among them were covered with a crust or thick scab. There were several lymphatic glands in the axilla enlarged and indurated; the right arm was oedematous and greatly swollen.
The oedema was temporarily diminished, as I have seen happen in other similar cases, by the application of a blister to the swollen arm. The patient complained of
No 371.-No.43, New Series.