Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Modified radical mastectomy
1.
2.
3. “Our matched retrospective study indicates that BCT
performed for eligible patients is as effective as MRM with
respect to local tumor control, DFS, and DDFS. BCT may
be a superior treatment option for most Chinese primary
breast cancer patients.”
4.
5. EARLY LOCALLY ADVANCED
T1/T2 N0 OR N1 M0
T3 N0 M0
Patient compliance to
prefer MRM over BCS
T3 N1 M0
AnyT4
Any N2/N3 M0
After NACT
17. Auchincloss Patey Scanlon
Retract pectoralis minor
superomedially. Level
I and II only removed.
Divide and remove the
pectoralis minor. Level I,
II, III nodes can be
removed.
Divide the tendon at its
insertion at coracoid
process and put it back.
Level I, II, III nodes
removed.
The pectoralis minor muscle is routinely preserved along
with PM these days (the Patey’s MRM that involved
cutting of the pectoralis minor muscle to facilitate level-III
axillary dissection is no longer routinely practiced).
Adduction of ipsilateral arm relaxes the PM and allows
the retraction of pectoralis minor muscle laterally to
facilitate level-III axillary dissection
21. Angular vein, arising from the
chest wall and joining the
thoracodorsal vein to form
the subscapular vein can be
seen.This vein is reliable
landmark for the lower limit
of ALND
VIII. The thoracodorsal (TD) pedicle is
now lifted on a rubber sling in
order to facilitate the dissection of all
lymphatic tissue around this pedicle
down to the lower limit of axillary
dissection. It takes by some authors
as the lateral limit ofALND; however,
often there are nodes lateral to this
pedicle, it is safer to dissect laterally
up to the LD tendon
(Some surgeons like to take the point of
entry of thoracodorsal nerve into the LD
muscle as lower limit of axillary dissection).
