Abstrakt: |
In this article I wish to record four cases. The first is one where a pleural effusion was present with at least one tumour in the lungs. There is a history of amputation of the breast for carcinoma six years previously, but no pathological report is recorded.The second one shows multiple metastases in the lungs and a pleural effusion. Pathological reports were made of the primary breast tumour and of a later one near the operation scar.The third is one in which a histologically proved carcinoma of breast arising in the axillary tail and involving the axillary glands, is improving steadily under treatment. Not conclusive in itself as to the value of the combined treatment, it is of help when considered along with the others.The fourth case is one in which a lump was present in the breast, and I think it was almost certainly a tumour and probably a scirrhus of low malignancy, which regressed completely with stilbœstrol alone.Case 1. Metastatic tumour of lung with pleural effusionThe patient (Mrs. C.B. Age 65) has a nodular non-toxic goitre of very many years duration. On 17.7.37 a radical amputation of the left breast was performed for a condition recorded as carcinoma, although no histological report was made. Post-operative deep X-ray therapy was given over a period of one month. The patient remained free from recurrence until 10.7.39 when a swelling was found in the upper end of the sternum. |