Design of the classic Stewart elliptical incision for central and subareolar primary lesions of the breast. The medial extent of the incision ends at the margin of the sternum. The lateral extent of the skin incision should overlie the anterior margin of the latissimus dorsi. The design of the skin incision should incorporate the primary neoplasm en bloc with margins that are 1 to 2 cm from the cranial and caudal edges of the tumor.
Reproduced with permission from: Bland KI. Modified radical mastectomy and total (simple) mastectomy. In: Master Techniques in General Surgery: Breast Surgery, Bland KI, Klimberg SV (Eds), Lippincott Williams & Wilkins, Philadelphia 2011. Copyright © 2011 Lippincott Williams & Wilkins.
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