Chronic Mastitis
Grant, A.J.
Canadian Medical Association Journal 16(9): 1064-1070
1926
ISSN/ISBN: 0008-4409 PMID: 20315939 Document Number: 11418
1. Many cases of chronic mastitis will respond to simple measures, and operative treatment is not justified unless one or more definite tumour masses are palpable. 2. The palpation of a single, definite tumour mass in the breast is an indication for operation if it shows itself to be of a permanent nature. (We have not touched upon the transitory, disappearing cyst which is sometimes seen in young women). Localized excision is sufficient if we are satisfied that the tumour is benign. The radical operation is indicated if the lesion exhibits the gross characteristics of carcinoma. In cases of reasonable doubt, after close examination of the relations of the tumour to the surrounding tissues, the radical operation should be performed. 3. We have been too ready to perform mastectomy for chronic mastitis: operative indication should be confined to the third clinical group showing multiple definite masses and then only when the condition is progressive.
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