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Show 128 the breast, with frequent stinging 01' lancing pains; the skin becomes attached to the tumour ; assumes a livid colour, with enlarged veins ; and is drawn down to the centre of the dis» case. If the operation were to be performed only in such cases, its reputation would have a very rapid decline; for a small irregular breast, nith the nipple drawn in, andxwith livid, and the veins distinct. From the centre of this ulcer, a fungous tumour rises with rapid growth. This fungous excrescence is soft, and of a dark dirty colour ; it is like a dead substance ; and, indeed, upon the surface, it sloughs and se stinging pain running towards the axilla, betokcns the worst kind of cancers. parates into pelicles. There is a very different disease to appearance, which very often, I think, presents to us, a large stoney irregular tumour Whenever the schirrous breast becomes a little irregular, and the nipple is sunk, or as it were drawn in, no thue is to he lost; for if with this there is the darting pain, it is a confirm ed case of cancer. When a tumour in the breast feels quite insulated and free. companied with shooting pains, it is a very unpropitious be= ginning. The operation should not be long delayed. The worst cancer begins by a small hard tumour within of the breast, standing directly out, and not much attached, As.»..--4_-,-'_‘.\.»p+:~4-'--? a most glorious occasion for a seemingly dexterons public ope» ration of cancer ! This tumour is very easily turned oll‘; whilst that described in the last paragraph, is very apt to ad- \ though suspicious, we. may with propriety take time to use such means as occur to us to soften and revive it-i. But when it is felt as part of the niamma, and its confines : re less Sometimes cancer arises in the glands of the arcola and nip- distinctly marked, with a shooting stinging pain in it; or swells, and becomes elastic, whilst the fungous tumours sinl; their roots deep, and the disease is an open bloody cancer. ...-.: The discharge from the ulcer is thin and foetid, and there occurs often alarming heemorrhage. here to the pectoral muscle, the fat is much absorbed, and the integuments thin. ple, and forming first extensive excoriation, fungous excrescences are next sent up. The whole breast at the same time * When it is impossible to operate in such an instance oi‘the disease, ii: in very necessary to knowhow we Lll‘e to palliatc and relieve the symptoms Oily dressings promote the discharge, and keep the woman uncomibrt: ‘ le Whilst these excrescences rise in the centre, the skin around to herself, and disagreeable to her neighbours. W'ashes and wet cloths will be a great relief. Astringent washes ot'lime water, acetite of lead, lan. becomes diseased, and then there spreads a spurious kind ol (lnnum and rosewater, Sic. diminish the discharge, and suppress the gcne~ ulceration, which throws oil the natural cuticle: from this new surface, at intervals, granulations sprout up like those in the centre. Like the other cancerous ulcers it is attended ral excitement and action, and burning heat of the surface. with a severe burning pain. ...~ ..-- .'-~'M .. _. .A‘." 129 does not admit of amputation, on account of the extent of the diseased skin at an early periods. But there is a more common fungus, which arises rom the cancerous breast. Where the central tumour attaches to the skin, an ulcer forms with ragged and distorted edges ; the skin around is When a purple colour is on the skin over the tumour, ac" , ,- ,a: .- ng... . CHARACTER or THE DISEASE. crmaacrnn or run msnasn. This species of cancer often I have observ- ed, that as the centre fungus enlarged and grew up, it was attended with :1 great increase of pain, a higher state of vascular action, and more florid ulceration, which has been frequently checked by cutting the excrescenées elf by ligature, or destroying them by arsenical caustic. f In the treatment of the breast, in whatever state of swelling and inflammation, from the milk breast to the cancerous state, the bandage or sling " Serotidous are softer and less heavy than schirrous tumours : the 1:}. .er is not so irregular, the edge is not everted and curling, and the skin r» less drawn in and puckered. I am afraid it is sometimes impossibl: to disLinguish the schirro us and malignant tumour. from the scro‘fnleus enlarge; mart. must not be neglected: it is an immediate relief. \Vhereas, if the breast hangs, it incessantly solicits increase of action to the parts. The T bandage is to be preferred : first it is made to encircle the body below the breast; and then the middle bandage being split, goes over the shoulders on each side the neck. VOL. I. |
