Operative surgery . e therule if the primary tumor is not removed until regional infection setsin (Senn). The Anatomical Points.—The relations of the lymphatic glands of thebreast to those of the axillary, pectoral, supraclavicular, and infraclavicularregions are of great importance as bearing on the measures of detection andremoval of malignant disease and of its forestallment in these normal axillary glands are of comparatively large size, about ten ortwelve in number, and are arranged in three more or less distinct chainsor series. One chain surrounds the axillary vessels, th
Operative surgery . e therule if the primary tumor is not removed until regional infection setsin (Senn). The Anatomical Points.—The relations of the lymphatic glands of thebreast to those of the axillary, pectoral, supraclavicular, and infraclavicularregions are of great importance as bearing on the measures of detection andremoval of malignant disease and of its forestallment in these normal axillary glands are of comparatively large size, about ten ortwelve in number, and are arranged in three more or less distinct chainsor series. One chain surrounds the axillary vessels, therefore is imbeddedin loose areolar tissue. The lymphatics of the arm are continuous with thischain. Another, a small chain, runs along the lower border of the pectoralismajor, receiving the lymphatics from the chest and breast. The third issituated at the posterior border of the axilla, and receives the lymphaticsfrom the back. The series communicate with each other in the axilla, but 1003 1004 OPERATIVE not so freely as with lymphatics of the structures located closely to axillary and deep cervical lymphatics communicate with each otherthrough the agency of two or three lymphatic glands situated beneath theclavicle. The superficial cervical lymphatic glands immediately above theclavicle are connected at that situation with the deep ones , as before stated, the major portion of the lymphatic vessels ofthe mamma empty into the anterior axillary series, still, many from theiuner margin of the gland pass directly through the intercostal spaces tocommunicate with the mediastinal lymphatics (Fig. 1230). The lymphatic vessels of the pectoral muscles andtheir fascia are connected with thoseof the mamma, and they pass fromthe gland through the fatty tissuebeneath to establish this deep lymphatics of the inferi-or surface of the gland accompany-ing the aortic intercostals at theouter side of the gland going to thethoracic duct in the
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
