File:The breast- its anomalies, its diseases, and their treatment (1917) (14776829143).jpg

Identifier: breastitsanomali00deav (find matches)
Title: The breast: its anomalies, its diseases, and their treatment
Year: 1917 (1910s)
Authors: Deaver, John B. (John Blair), 1855-1931
Subjects: Breast Breast X-rays Breast Diseases Breast Neoplasms Radiotherapy
Publisher: Philadelphia, P. Blakiston's Son & Co
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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proximately an inchdistant is in danger of involvement especially when the tumor arises in the adjacentsegment of the breast. Many of the lymphatic vessels arising in the parieties of thelower thorax and upper abdomen traverse this fascial triangle to reach the falciform liga-ment of the liver within the folds of which they run to the diaphragmatic group oflymph nodes. SURGICAL ANATOMY OF THE BREAST 35 Blood Supply.—The mammary gland is supplied with blood through branches of theaxillary, internal mammary and intercostal arteries. The axillary branches are thelong thoracic or deep external mammary, the short thoracic or superficial externalmammary, the superior thoracic and the pectoral branch of the acromio-thoracic arteries.The long thoracic artery although the largest vessel cut in radical excision of the breast,sends only a few small twigs to the deep surface of its upper outer quadrant and severalto the superficial surface of the same area. The short thoracic artery arises from
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Fig. 17.—Arterial supply of breast. (Testut.) A. Nipple. B, B. Pectoralis major. C. Deltoid.D. External oblique. E. Serratus magnus. F. Latissimus dorsi. i, i. Internal mammary arteryfollowing the external border of the sternum, i. Perforating branch of that artery, later passingbetween the pectoralis major and the deep surface of the gland, i. Two perforating branches surround-ing the internal border of the breast. 2. Superior thoracic artery. 2. Branches of the superior tho-racic. 3. Inferior thoracic or external mammary artery, with: 3, 3. Two branches running to thebreast. 4, 4. Vascular circle surrounding the areola. 5, 5. Two branches coming from the intercostals.6. Axillary artery. (Testut: Traite dAnatom. Humaine, iii, p. 60, Paris, 1895, 3d ed.) the terminal portion of the axillary artery and crosses the axillary space in the superficialtissues to reach the superficial aspect of the breast where it anastomoses with the precedingvessel. The superior thoracic artery supplies,

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