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Radical mastectomy is a surgical procedure that treats breast cancer by removing the breast and its underlying chest muscle (including pectoralis major and pectoralis minor), and lymph nodes of the axilla (armpit). Breast cancer is the most common cancer among women.
Radical mastectomy (or "Halsted mastectomy"): First performed in 1882, this procedure involves removing the entire breast, the axillary lymph nodes, and the pectoralis major and minor muscles behind the breast. This procedure is more disfiguring than a modified radical mastectomy and provides no survival benefit for most tumors.
Surgery is the primary management for breast cancer. Depending on staging and biologic characteristics of the tumor, surgery can be a lumpectomy (removal of the lump only), a mastectomy, or a modified radical mastectomy. Lymph nodes are often included in the scope of breast tumor removal.
In general, conservative surgery, modified radical mastectomy, and radical mastectomy have been the most frequent procedures in adults while simple mastectomy, local excision with sentinel lymph node biopsy, and complete axillary dissection have been recommended as adequate treatment for children with MSC. [15]
Prior to 1981, there existed limited evidence that breast-conserving surgery was an acceptable alternative to radical mastectomy for treatment of early stage breast cancer. Dr. Umberto Veronesi , an Italian oncologist, challenged this notion and led a clinical trial comparing the radical mastectomy with breast-conserving surgery (which was ...
In 1974, Dao was the physician who performed a modified radical mastectomy for Rose Kushner, who was to become an effective patient activist in opposition to the more radical standard treatments for breast cancer. He endorsed her controversial 1975 book on the subject of breast cancer and its treatment, saying "Every woman in the United States ...
Rose Brystowski, 68, had a choice to make. Others might have found it difficult. She found it easy. Brystowski, of Oak Park, Michigan, wasn't about to let her genetics forfeit her future. Doctors ...
By the late 1960s, Fisher's research had established that radical mastectomy was indeed "no more effective than total mastectomy", and that a total mastectomy, in turn, was “no more effective than lumpectomy in treating breast cancer.” [16] Fisher consequently urged his fellow breast-cancer surgeons to change their approach to the disease.