Regional anatomy in its relation to medicine and surgery . Copyright, IS90, by George He. Clellan, M. D. Dissected, Photo§rdphed ^nd Colorea from Nature by George Mc. Clellan, M D. THE REGION OF THE THORAX. 253 should be drawn upward and backward, so as to put the great pectoralmuscle on the stretch, and a bevelled incision should be made, first on oneside and then on the other, around the base of the gland, in a directiontoward the axilla. The entire gland, including the nipple, should alwaysbe extirpated, to avoid as far as possible a recurrence of the morbid state,and if the axillary glands
Regional anatomy in its relation to medicine and surgery . Copyright, IS90, by George He. Clellan, M. D. Dissected, Photo§rdphed ^nd Colorea from Nature by George Mc. Clellan, M D. THE REGION OF THE THORAX. 253 should be drawn upward and backward, so as to put the great pectoralmuscle on the stretch, and a bevelled incision should be made, first on oneside and then on the other, around the base of the gland, in a directiontoward the axilla. The entire gland, including the nipple, should alwaysbe extirpated, to avoid as far as possible a recurrence of the morbid state,and if the axillary glands are involved, as they generally are in cancer,the incision can be extended so as to expose them. They will be foundsurrounding the deep vessels (Plate 45), and often adherent to the axillaryvein and its tributaries, so that their removal is very difficult and hazard-ous, whereas the excision of the gland alone is comparatively a simple andeasy task. Upon complete removal of the gland, its base will be found toconform with the slight bulge of the subjac
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