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REAPPRAISAL OF SURGICAL TREATMENT OF MAMMARY CARCINOMA

REAPPRAISAL OF SURGICAL TREATMENT OF MAMMARY CARCINOMA The inevitable handling of soft tissues during mastectomy for mammary carcinoma increases the danger that tumor cells may be carried to nearby lymph nodes. Metastases laterally toward the axillary lymph nodes are visible and accessible and have received much attention. Metastases medially toward the supraclavicular and internal mammary nodes have not received sufficient attention, although they constitute the greater danger. The danger can be reduced by the type of operation here described. In it, the first incision is planned to block lymphatic and venous draining in the medial direction before beginning the extensive manipulations involved in mobilizing the primary breast tumor and dissecting the axillary structures. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

REAPPRAISAL OF SURGICAL TREATMENT OF MAMMARY CARCINOMA

JAMA , Volume 170 (12) – Jul 18, 1959

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1959.03010120001001
Publisher site
See Article on Publisher Site

Abstract

The inevitable handling of soft tissues during mastectomy for mammary carcinoma increases the danger that tumor cells may be carried to nearby lymph nodes. Metastases laterally toward the axillary lymph nodes are visible and accessible and have received much attention. Metastases medially toward the supraclavicular and internal mammary nodes have not received sufficient attention, although they constitute the greater danger. The danger can be reduced by the type of operation here described. In it, the first incision is planned to block lymphatic and venous draining in the medial direction before beginning the extensive manipulations involved in mobilizing the primary breast tumor and dissecting the axillary structures.

Journal

JAMAAmerican Medical Association

Published: Jul 18, 1959

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