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MASTECTOMY: A CLINICAL PATHOLOGIC STUDY DEMONSTRATING WHY MOST MASTECTOMIES RESULT IN INCOMPLETE REMOVAL OF THE MAMMARY GLAND

MASTECTOMY: A CLINICAL PATHOLOGIC STUDY DEMONSTRATING WHY MOST MASTECTOMIES RESULT IN INCOMPLETE... Abstract Simple mastectomy is an operation frequently attempted but seldom accomplished. Bold as this declaration may seem, it is true. Theoretically the term "mastectomy" indicates complete excision of the mammary gland and does not apply to incomplete removal, partial resection or subtotal ablation. In practice, however, the vast majority of so-called "mastectomies" accomplish nothing more than incomplete extirpation of the main mass of mammary tissue. While the surgeon aims to remove all of the mammary gland, he invariably leaves some of it behind to undergo either normal involution or pathologic change. During the past three years, careful anatomic and histologic studies have been made of all breasts sent to the pathologic laboratories of several large hospitals. The mastectomies had been done by well trained surgeons, many of whom had had considerable experience in surgical treatment of the breast. In practically every instance no difficulty was encountered in demonstrating that the breast References 1. Skiodan viscous for this purpose was supplied by the Winthrop Chemical Co., New York. 2. Hicken, N. F.: Mammography: The Roentgenographic Diagnosis of Breast Tumors by Means of Contrast Substances , Surg., Gynec. & Obst. 64:593-603, 1937. 3. Hicken, N. F.: Mammography: The Preoperative Visualization and Diagnosis of Breast Tumors by Means of Contrast Roentgenograms , Nebraska M. J. 22:211-214, 1937. 4. Hicken, N. F.; Best, R. R.; Hunt, H. B., and Harris, T. T.: The Roentgenological Visualization and Diagnosis of Breast Lesions by Means of Contrast Media , Am. J. Roentgenol. 39:321-343, 1938. 5. Wainwright, J. M.: Carcinoma of the Male Breast , Ann. Surg. 14:837-859, 1927. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

MASTECTOMY: A CLINICAL PATHOLOGIC STUDY DEMONSTRATING WHY MOST MASTECTOMIES RESULT IN INCOMPLETE REMOVAL OF THE MAMMARY GLAND

Archives of Surgery , Volume 40 (1) – Jan 1, 1940

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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1940 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1940.04080010009002
Publisher site
See Article on Publisher Site

Abstract

Abstract Simple mastectomy is an operation frequently attempted but seldom accomplished. Bold as this declaration may seem, it is true. Theoretically the term "mastectomy" indicates complete excision of the mammary gland and does not apply to incomplete removal, partial resection or subtotal ablation. In practice, however, the vast majority of so-called "mastectomies" accomplish nothing more than incomplete extirpation of the main mass of mammary tissue. While the surgeon aims to remove all of the mammary gland, he invariably leaves some of it behind to undergo either normal involution or pathologic change. During the past three years, careful anatomic and histologic studies have been made of all breasts sent to the pathologic laboratories of several large hospitals. The mastectomies had been done by well trained surgeons, many of whom had had considerable experience in surgical treatment of the breast. In practically every instance no difficulty was encountered in demonstrating that the breast References 1. Skiodan viscous for this purpose was supplied by the Winthrop Chemical Co., New York. 2. Hicken, N. F.: Mammography: The Roentgenographic Diagnosis of Breast Tumors by Means of Contrast Substances , Surg., Gynec. & Obst. 64:593-603, 1937. 3. Hicken, N. F.: Mammography: The Preoperative Visualization and Diagnosis of Breast Tumors by Means of Contrast Roentgenograms , Nebraska M. J. 22:211-214, 1937. 4. Hicken, N. F.; Best, R. R.; Hunt, H. B., and Harris, T. T.: The Roentgenological Visualization and Diagnosis of Breast Lesions by Means of Contrast Media , Am. J. Roentgenol. 39:321-343, 1938. 5. Wainwright, J. M.: Carcinoma of the Male Breast , Ann. Surg. 14:837-859, 1927.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jan 1, 1940

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