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CHAPTER 36
DISEASES OF THE BREAST
Kelly K. Hunt, Marjorie C. Green, and Thomas A. Buchholz
subclavicular nodes medial to the pectoralis minor muscle. The
anatomy
level III nodes are easier to visualize and remove when the pec-
microscopic anatomy toralis minor muscle is divided. The apex of the axilla is defined
breast development and physiology by the costoclavicular ligament (Halsted’s ligament), at which
diagnosis of breast disease point the axillary vein passes into the thorax and becomes the
breast imaging subclavian vein. Lymph nodes in the space between the pecto-
identification and management of high-risk patients ralis major and minor muscles are termed the interpectoral group,
benign breast tumors and related diseases or Rotter’s nodes, as described by Grossman and Rotter. Unless
epidemiology and pathology of breast cancer this group is specifically exposed, they are not encompassed in
staging of breast cancer surgical procedures that preserve the pectoral muscles.
surgical treatment of breast cancer Lymphatic channels are abundant in the breast parenchyma
and dermis. Specialized lymphatic channels collect under the
treatment of ductal carcinoma in situ (intraductal
nipple and areola and form Sappey’s plexus, named for the
carcinoma
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