The modified radical operation, consisting of total mastectomy with clearance of the axilla while one (Patey) or both (Auchincloss-Madden) of the pectoralis muscles is left in place is now regarded as the standard operation for operable carcinoma of the breast and has been described several times in the literature [1,3,5,7,9,11]. Therefore only a few points are dealt with here.
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