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Modification of muscle‐preserving radical mastectomy
Author(s) -
Kodama Hiroshi
Publication year - 1979
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(197910)44:4<1517::aid-cncr2820440451>3.0.co;2-t
Subject(s) - medicine , modified radical mastectomy , radical mastectomy , pectoralis major muscle , surgery , dissection (medical) , mastectomy , pectoralis muscle , breast cancer , lymph node , cancer , pathology
A technical improvement of the muscle‐preserving radical mastectomy for breast cancer is presented. In this procedure, the Sulcus interpectoralis, located between clavicular and sternocostal parts of the pectoralis major muscle, is split bluntly and spread apart. Then, the pectoralis minor muscle is severed near its attachment to the coracoid process and an axillary dissection is thereby easily and thoroughly accomplished. The effectiveness of lymph node dissection by this method was ascertained when the number of the lymph nodes removed by this procedure was compared with that removed by the conventional muscle preserving mastectomy (Madden's operation) and the radical mastectomy. Ninety‐three patients treated by this operation have shown a satisfactory cosmetic appearance and a good prognosis when compared with patients treated by the standard radical mastectomy.