Surgical Treatment

  • D. von Fournier
  • F. Kubli
Conference paper


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.


Latissimus Dorsi Axillary Dissection Radical Mastectomy Wide Excision Pectoralis Major Muscle 
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  1. 1.
    Auchincloss H (1963) Significance of location and number of axillary metastases in carcinoma of the breast, a justification for a conservative operation. Ann Surg 158: 37PubMedCrossRefGoogle Scholar
  2. 2.
    Cody HS III, Egeli RA, Urban JA (1984) Rotter’s node metastases. Therapeutic and prognostic considerations in early breast carcinoma. Ann Surg 199: 266PubMedCrossRefGoogle Scholar
  3. 3.
    Donegan WL, Spratt JS (1979) Cancer of the breast. Saunders, PhiladelphiaGoogle Scholar
  4. 4.
    Gant TD, Vasconez LD (eds) (1981) Postmastectomy reconstruction. Williams and Wilkins, BaltimoreGoogle Scholar
  5. 5.
    Handley R, Thackray A (1969) Conservative radical mastectomy (Patey’s operation). Surgery 170: 880Google Scholar
  6. 6.
    Harris JR, Hellmann S, Kinne DW (1985) Limited surgery and radiotherapy for early breast cancer. N Engl J Med 313: 1365PubMedCrossRefGoogle Scholar
  7. 7.
    Käser O, Ikle FA, Hirsch HA (1983) Atlas der Gynäkologischen Operationen, 4th edn. Thieme, StuttgartGoogle Scholar
  8. 8.
    Kubli F und von Fournier D Eds (1984) Neue Konzepte der Diagnostik und Therapie des Mammakarzinoms. Springer, Berlin Heidelberg New YorkGoogle Scholar
  9. 9.
    Madden JL, Kandalaff S, Bourque R (1956) Modified radical mastectomy. Ann Surg 175: 624CrossRefGoogle Scholar
  10. 10.
    Moosman DA (1980) Anatomy of the pectoral nerves and their preservation in modified mastectomy. Am J Surg 139: 883PubMedCrossRefGoogle Scholar
  11. 11.
    Patey DH, Dyson WH (1948) The prognosis of carcinoma of the breast in relation to the type of operation performed. Br J Cancer 2: 7PubMedCrossRefGoogle Scholar
  12. 12.
    Kosen PP, Lesser MT, Kinne DW (1983) Discontinuous or “skip” metastases in breast carcinoma. Analysis of 128 axillary dissections. Ann Surg 197: 276CrossRefGoogle Scholar
  13. 13.
    Veronesi U, Saccozzi R, Del Vecchio M et al (1981) Comparing radical mastectomy with quadrantectomy, axillary dissection and radiotherapy in patients with small cancers of the breast. N Engl J Med 305: 6PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • D. von Fournier
  • F. Kubli

There are no affiliations available

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