Incisions for cancer of the lower outer quadrants of the breast. The surgeon should design incisions that achieve margins of 1 to 2 cm from the tumor with cephalad margins that allow access for dissection of the axilla. The medial extent is the margin of the sternum. Laterally, the inferior extent of the incision is the latissimus.
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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