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May 27, 1899


Author Affiliations

Associate in Surgery, Rush Medical College, in affiliation with the University of Chicago; Assistant-Surgeon St. Joseph's Hospital; Assistant-Surgeon Presbyterian Hospital. CHICAGO.

JAMA. 1899;XXXII(21):1147-1148. doi:10.1001/jama.1899.92450480008002b

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Amputation of the breast in malignant disease is no longer regarded as a palliative operation in prolonging life; but should have for its purpose a permanent result, as verified by recent statistics. The operative technic of Halsted, which is simply a practical application of the profound anatomic research of Haidenhain in this region is certainly to be recommended. Of late, I have removed the breast, together with the axillary contents, without making an incision in the axilla.

The object of this short article is not to describe the radical operation for removal of the breast, which is only too well treated in all works on operative surgery, but to dwell on the value of the anterior axillary incision as a preliminary. The accompanying illustrations are more explicit than a detailed description of the operation. The breast is circumscribed by two curvilinear incisions which meet above at the border of the

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