. Surgical differentials. 3^ z^^ Fig. 27. s.*« Fig. 28 PROPHYLAXIS OF MALIGNANCY. 123 Treatment of Carcinoma. The treatment of mammarycarcinoma is determined absolutely by the distribution of thelymphatic drainage. The mortality rate from the radical opera-tion would be very much lower were it not for the unfortunatefact that the upper inner quadrant drains largely into the an-terior mediastinal glands and indirectly into the liver. Fortu-nately, however, the most extensive drainage is into the axil-lary and supra-clavicular groups. (See Fig. 25.) Thus it is that the position of the grow
. Surgical differentials. 3^ z^^ Fig. 27. s.*« Fig. 28 PROPHYLAXIS OF MALIGNANCY. 123 Treatment of Carcinoma. The treatment of mammarycarcinoma is determined absolutely by the distribution of thelymphatic drainage. The mortality rate from the radical opera-tion would be very much lower were it not for the unfortunatefact that the upper inner quadrant drains largely into the an-terior mediastinal glands and indirectly into the liver. Fortu-nately, however, the most extensive drainage is into the axil-lary and supra-clavicular groups. (See Fig. 25.) Thus it is that the position of the growth, particularly ifit be a small one, determines the extent of the operative inter-vention. If, for example, the outer upper quadrant alone is in-volved, it may be deemed conservative to remove no more thanthe axillary glands with pectoralis major and minor. If, how-ever, as is too frequently the case, the growth when operatedupon has invaded other quadrants of the breast, the supra-clavi-cular and in some cases even the anterior medias
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