File:The breast- its anomalies, its diseases, and their treatment (1917) (14570300229).jpg

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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nodes. Theseare frequently involved in infections of the upper extremity and are also infrequentlyinvolved in cancer of the breast. They should, however, be examined in all cases of 42 THE BREAST mammary neoplasm, especially since they are superficial and therefore easily palpablewhen enlarged. The retro-pectoral nodes are of importance only in so far as they confirm the necessityof removing the pectoral muscles in the radical operation for cancer. They are situatedbetween the two pectoral muscles and along the course of the subclavian accessorylymphatic trunk which Grossman first described. These nodes are found according toRotter in 50 per cent, of cases. The deep cervical plexus is (practically) a subsidiary oradjacent system, however, but is of the utmost importance as all of the axillary sub-groups are in indirect communication with some of its inferior nodes which are frequentlyinvolved in mammary carcinoma and infrequently removed. The nodes of this group SdH.L Serratus ma^nus
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IJX. Int mamma/y ^land ...C.T.L Tracheo ironckial^Ia/td Post mediastinal^ianei Axillary ffla/tds C.B. EIL. Post, intercostaly/a^id. Fig 22.—Diagram showing connections of lymphatics of serratus magnus and intercostal muscles. (Leaf.)S.M.L. Deep lymphatics of serratus magnus joining those of external intercostal muscle. _ C.B.Communicating branches between external and internal intercostal muscles. E.I.L. Lymphatics ofexternal intercostal muscle emptying into posterior intercostal glands. I.I.L. Lymphatics of internalintercostal muscle and parietal pleura emptying into sternal glands. C.T.L. Lymphatics of visceralpleura passing into collecting trunks of lung and emptying into tracheo-bronchial glands. P. Perfor-ating branches passing into internal intercostal trunk. occupy the supra-clavicular triangle and are situated anteriorly or superficially to thescalene muscles and the trunks of the brachial plexus. In addition to the afferentvessels, to which we have referred as coming from t

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