A short history of breast cancer by D. de Moulin

By D. de Moulin

The 3rd Breast melanoma operating convention of the Breast melanoma Cooperative team of the eu association for examine on therapy of melanoma, to be held in Amsterdam on April 27-29, 1983, used to be the main cause for penning this booklet. It was once feh brief overview of the most pathogenetic conceptions and healing ideas that have awarded themselves in regards to mammary melanoma during Western historical past , can help to attract a extra whole photo of the place we stand this present day. it's not effortless to make your mind up which rules, even though discarded, deserve but to be remembered and which authors from the prior can be thought of to be really consultant of the medical weather in their age. Twenty centuries have produced a great deal of principles and the variety of clinical authors who complicated, or rejected, or changed, or revived them, is basically uncountable. So the historian has to make a selec­ tion and offerings are perforce subjective and open to feedback. In penning this publication i attempted to refer to unique resources within the unique language up to attainable. those assets weren't regularly strictly scientific on the grounds that I aimed toward putting the matter of malignant breast disorder - which would function a paradigm of melanoma mostly - in a a bit wider context. For the background of medication isn't just a historical past of rules, but additionally that of individuals, of associations, of society.

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I suppose itt was the mammillarie veins full of knotts which were cancrous, and hung much like ropes of onions. The cancer was astrange one, as was evident; wee wanted spunges and other things convenient, or else wee had opened the cavitie of the breast. The etching by the Dutch painter and illustrator Romeyn de Hooghe (1695-1708) depicts how a mastectomy would have been performed round about 1667 (Fig. 12). This was, at least, the year in which the book appeared from which this illustration was taken.

It was apparently a variety of this type of operation which the Reverend John Ward observed in 1666, when it was performed by two surgeons on Mrs. Townsend, one of his parishioners in Stratford-on-Avon: 72 First they cutt the skin cross and laid itt back, then they workt their hands in ytt, one above and the other below, and so till their hands mett, and so brought itt out. They had their needles and waxt thread ready, but never ust them; and allso their cauterizing irons, but they used them not: she lost not above six ounces of blood in all.

16. / •• ', /- .. '" Ji ... - ~- " I;";' ,> --- --- - Internal mammary lymph nodes, described by P. Camper. to the thoracic cage at the spot where ribs had come to be exposed some time after the amputation of a cancerous breast. On another occasion he noted the presence of a great lump of 'scirrhous tubercles' in the ipsilateral axilla. In both cases, however, he refrained from any comment. In the relevant chapters of Morgagni's book, the present author could find only one reference, and that, merely in a quotation from the literature, to a 'virus' which, by spreading over the sternum, was believed to have caused cancer in the heterolateral breast after amputation of the first breast.

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