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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e breast isfirmly adherent to the tumor, in which event, it is better practice to make a clean cutexcision of a segment of breast tissue, than to attempt the difficult and mutilating task THE NON-INDIGENOUS TUMORS OF THE MAMMARY GLAND 467 of separating the tumor from the surrounding tissue to which it has become firmlyadherent. Plastic resection is not the most satisfactory method to be employed for the removalof benign tumors situated near the surface of the breast or in its upper inner quadrant.The removal of tumors in these situations through an incision placed directly over themis a much simpler matter than when the approach is made through a Thomas incision, sothat unless the cosmetic result has to be seriously considered, we much prefer the formermethod. Real objections to the plastic method are, however, few in number, and withthe exception of its application to cases of abnormal involution, of minor importance. The technic of the operation as given by its author is as follows:
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Fig. 171.—-The V-shaped wound is closed with interrupted sutures. (Warren.) The patient standing erect and the mamma being completely exposed, a semicircular line is drawnwith pen and ink exactly in the fold which is created by the fall of the organ upon the thorax. This lineencircles the lower half of the breast at its junction with the trunk. As soon as it has dried the patient isanaesthetized, and with the bistoury the skin and areolar tissue are cut through, the knife exactly followingthe ink line just mentioned until the thoracic muscles are reached. From these the mamma is now dis-sected away until the line of dissection represents the chord of an arc extending from extremity to ex-tremity of the semicircular incision. The lower half of the mamma which is now dissected off is, afterligation of all bleeding points, turned upward by an assistant and laid upon the chest wall just below theclavicle. An incision is then made upon the tumor from underneath by the bistoury, a pair of

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