Senology.org - Newsletter

International Senologic and Oncologic  Scientific Community 

"Connecting specialists worldwide"

 Editor-in-chief: Gian Paolo Andreoletti, MD

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Fragments of History

  • Richard Volkmann, "Beitrage zur Chirurgie", Leipzig, Germany (1875):  I make it a rule never to do a partial amputation for cancer of the breast, but remove the entire breast even for the smallest tumors, and at the same time I take away a liberal piece of skin. The skin defect  is, of course, very great when one operates in this manner, and the wound, in consequence, requires a long time for healing. Furthermore, in making the lower incision I cut right down to the pectoralis muscle and clean its fibres, as I would for a class-room dissection, carrying the knife parallel with the muscular fasciculi and penetrating into their interstices. The fascia of the muscle is,accordingly, entirely removed. I was led to adopt this procedure because, on microscopical examination, I repeatedly found when I had not expected it that the fascia was already carcinomatous,whereas the muscle was certainly not involved. (…). It seems to me, therefore, that the fascia serves for a time as a barrier, and is able to bring to a halt the spreading growth of the carcinoma"

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