Applied Anatomy

Cover Applied Anatomy
Applied Anatomy
Gwilym George Davis
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Sometimes the cavity of the cyst has its liquid contents replaced by the solid tumor which has grown into it. A discharge of bloody serum from the nipple is common in these growths.
Scirrhus is the ordinary form of cancer of the breast. It starts in the epithelial structures of the gland, breaks through the basement membrane and involves the structures immediately adjacent to it, and is disseminated more widely by the lym- phatics. Pagef s disease is a true carcinoma which begins as an eczema o
...r ulceration around the nipple and later becomes disseminated.
Carcinoma follows the gland structure, and readily involves the pectoral fascia covering the pectoralis major muscle. Anteriorly, the gland structure in places follows the ligaments of Cooper to the skin above, hence the frequency with which the skin is involved.
The scirrhus variety does not involve the ducts in the same manner as does the intracanalicular variety, hence bloody discharges from the nipple are not so common as in that affection.


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