Clinical Lecture on Certain Cases of Lung-Disease Resembling Acute Phthisis
1886; BMJ; Volume: 1; Issue: 1326 Linguagem: Inglês
10.1136/bmj.1.1326.1014
ISSN0959-8138
Autores Tópico(s)Infectious Diseases and Tuberculosis
ResumofBITISHIMDIGAL J 2 nodules in the neighbouring skin, the scar itself being apparently healthy It has been remarked-1'y a thougahtful surgeon, that he who values his peace of mind will never operate for cancer of the breast.That same silrgeon would, howtever, be th-le first to -admit that the mental ease of the practltioner is iaot to count before the physical well-being df the.p4tient.It is afterwtards a great comfort to a patient to fel that s has hbd the Privilege of operation, even though there be' reejr&Wn'6e of the disease.As't!We adYa:nces, it will probably be found that operative surgery can be of yet greater service in 'reudering canicer asttictly local disease.If so, the first idvance will likely be m-ade in dealing tith the enlarged cervical 's praclavicular-glands, which are infected after invasion of the axillary lymphaties, through the apex of the axilla and beneath' the claVicle.Althoogh the can be plled down by the fingers and for'eps in the~armpit, especially if, at the sate time, pressure be made from above the clavicle, still, the better wy will probably be to extract tLheriiby a direct incision at the root '6f' the neck, after the clearanec of the arinpit.Aft,r operation, the-patient shotuld present herself for inspection by- the9'suitgeon 'at regular intervals, say of six weeks or two months ; so that, in case of recurrence of the disease, no time may be lost in operating again.Then, in case of suspicious fulness about the axilla, or of hardness about the scar, the cicatrix may be.wvidely removed, 'and the armpit again ex-amined, and, if necessary, cleared out. to have operated oilee should not suffice; .timeafter time must the attack be renewed, whilst there is prospect of operating
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