MEDICINE AND SURGERY IN TUMOURS OF THE BREAST
IN my last chapter I have given instances of malignant diseases involving the intestinal tract, in all of which surgical interference had taken place. In the two cases in tract had not been interfered with, remedies were able to effect a cure. In the two instances in which the canal had been divided, although the treatment in each case afforded marked relief, a fatal result nevertheless followed.
I will now relate two cases of cancer of the breast, in both of which the breast had been removed before I saw the patient. In both of then there was recurrence of the disease-on the same side in one case, on the opposite side in the other-and in both the remedies were able to successfully meet the situation.
There is a good deal of parallelism between the two cases. Both patients are near the climacteric period. Both were subjects of neuralgia and indigestion, and one had inveterate constipation. Both had histories of phthisis in the family, with, in one case, a doubtful histories of phthisis in the family, with in one case, a doubtful history of cancer. Both had trouble in the upper extremity of the side operated upon during the treatment, and both had recurrence of old symptoms.
I will now give the cases. In the first of them there was a curious symptom-coldness of the right side of the body. I regarded this as indicating lowered vitality of the operated side. Many remedies have the symptom “coldness of one part of the body,” and among them Thuja, though Thuja’s coldness is most characteristically left-sided. But in this instance Thuja relieved this symptom in a striking way, so that right-sided coldness must be added to Thuja’s symptomatology.
CASE XII.-Cancer of Right Breast, There Operations; Recurrence.
Mrs T–, 41, tall, spare, blue eyes, rather swarthy complexion, consulted me December 21st, 1906. She had one boy, aged 10; the birth had been a difficult one, with breech presentation. Two and a half years before I say her, a lump the size of a pea had appeared in the right breast. It grew, and her local medical man, an allopath, pronounced it to be a simple cyst, and removed it in January 1906. Soon after another lump appeared, and the patient was again assured that it was quite an innocent growth, and the same practitioner performed a second operation in March of the same year. In the middle of July a third growth appeared, red and blue, and looking as if going to burst. This time her medical adviser said nothing would induce him to operate again, and she must see a specialist. He took her to Mr D-, who pronounced it to be a cyst “with cancerous growth”. He advised that she should come into a nursing that she should come into a nursing home and have the entire breast removed. This was done in July 1906. Shortly before she came to me another nodule appeared, and she was again asked to see the same specialist and get him to remove it. This time she thought see would choose her own specialist, and by a friend’s advice she came to me.
She had had enough of operations, and if she could not be cured without, she preferred to take her chance as she was.
I found a branched scar covering the are of the right breast, with one limb of it running into the axilla. the new nodule was near the end of this limb, but below it and not attached to it. The left breast was rather lumpy, the nipple was flat, and there was a gland in the axilla.
The patient used to have indigestion for years before the lump appeared, and when the lump came the indigestion got better. The indigestion consisted of pains about the splenic region, which were relieved by bringing up much wind.