Identifier: breastitsanomali00deav (find matches)
Title: The breast: its anomalies, its diseases, and their treatment
Year: 1917 (1910s)
Authors: Deaver, John B. (John Blair), 1855-1931
Subjects: Breast Breast X-rays Breast Diseases Breast Neoplasms Radiotherapy
Publisher: Philadelphia, P. Blakiston's Son & Co
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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Text Appearing Before Image:
Fig. 210.—Showing the skin incision. The dotted lines indicate that part of the skin incision that ismade after the axillary dissection has been completed. Two incisions are made to diverge from the lower end of that just described; thesetogether form an inverted V the limbs of which are made to encircle the upper segment ofthe breast. It is our custom to mark out the remaining portions of the incision withoutcutting through the whole thickness of the skin as is done with the upper portions ofthe incision, the knife being merely permitted to cut through the epidermis. These 59° THE BREAST superficial markings simply continue the upper incisions around the breast and are madeto converge at a point about two inches below its lower margin, whence a single incisionis carried downward and inward in the midline of the rectus abdominis muscle to a
Text Appearing After Image:
Fig. 211.—The upper portion of the skin flaps have been reflected and the humeral attachment ofthe pectoraKs major muscle has been freed allowing the muscle to retract downward and inward. Itwill be observed that the insertions of both the clavicular and sternal heads of the pectoraUs major mus-cle have been freed from the humerus. The cephalic vein is seen in its normal position in the delto-pectoral groove. point midway between the tip of the xiphoid cartilage and the umbUicus. The portionsof the incision above the breast are deepened untU the fascia covering the pectoralismajor muscle is exposed. The skin flaps outlined in this manner are then reflected, themedian one being dissected well beyond the edge of the sternum and in an upward di- CARCINOMA 591 rection as high as the upper border of the clavicle. The anterior portion of the deltoidmuscle is exposed in this dissection. The lateral flap is dissected outward and back-ward well beyond the anterior edge of the latissimus dors

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