Book contents
- Frontmatter
- Contents
- Preface
- Acknowledgements
- Glossary
- Abbreviations
- 1 Basics of breast MRI
- 2 Imaging-related anatomy and pathology
- 3 Interpreting breast MRI studies
- 4 MRI-guided biopsy techniques
- 5 High-risk screening using breast MRI
- 6 Preoperative staging with breast MRI
- 7 Problem-solving applications of breast MRI
- 8 MRI after breast augmentation
- Answers to multiple choice questions
- Appendices
- 1 Nephrogenic systemic fibrosis
- 2 Sensitivity and specificity
- 3 TNM classification
- 4 Overview of surgical procedures
- 5 Overview of radiation therapy
- 6 Overview of systemic therapy
- 7 Primary prevention strategies for high-risk women
- 8 Breast cancer genes and genetic testing
- Index
- Plate section
4 - Overview of surgical procedures
Published online by Cambridge University Press: 05 March 2012
- Frontmatter
- Contents
- Preface
- Acknowledgements
- Glossary
- Abbreviations
- 1 Basics of breast MRI
- 2 Imaging-related anatomy and pathology
- 3 Interpreting breast MRI studies
- 4 MRI-guided biopsy techniques
- 5 High-risk screening using breast MRI
- 6 Preoperative staging with breast MRI
- 7 Problem-solving applications of breast MRI
- 8 MRI after breast augmentation
- Answers to multiple choice questions
- Appendices
- 1 Nephrogenic systemic fibrosis
- 2 Sensitivity and specificity
- 3 TNM classification
- 4 Overview of surgical procedures
- 5 Overview of radiation therapy
- 6 Overview of systemic therapy
- 7 Primary prevention strategies for high-risk women
- 8 Breast cancer genes and genetic testing
- Index
- Plate section
Summary
Radical mastectomy (Halsted procedure)
Now rarely performed, radical mastectomy entails removal of the whole breast, the pectoralis major and minor muscles and the entire axillary contents en bloc, including the apical (level III) axillary lymph nodes.
Modified radical mastectomy
This procedure is now also uncommon but may be indicated for some very large tumors with palpable axillary nodes or inflammatory breast cancers. The whole breast is removed together with the underlying pectoral fascia. This preserves pectoral muscles and some skin, but the NAC and surrounding skin is excised, together with lymph nodes at least from the lower axilla (level I and II nodes) in an en bloc dissection.
- Type
- Chapter
- Information
- Handbook of Breast MRI , pp. 196 - 197Publisher: Cambridge University PressPrint publication year: 2011