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W. Steven Chr.

1894 : Halsted and Meyer reported


Radical Mastectomy.
1912: Murphy first preserving the both
pectoral muscle.
1948 : McWhirter, MRM with
radiotherapy
1948 :Patey and Dyson, and Patey
(removal of minor pectoral muscle)
1965 : Madden, Handley, Auchincloss
(MRM with pectoral preservation)

1979 : Consensus Development


Conference on the treatment of
Breast Cancer :
MRM was standard treatment for
women with stages I II breast
cancer.

The MRM consist of an an bloc


resection of the breast tissue
including the nipple/areola complex
and the overlying skin near the tumor
with the axillary lymphatics net work

The Indication :
Stages I II BC
LABC after neoadjuvant therapy.

1.
2.
3.
4.
5.
6.
7.
8.

Pasient preparation
Incision marking and Skin incision
Skin flapping
Breast tissue excision
LN disection
Washing and Tube Drainage
Clossing the wound
Bandaging

1. PATIENT
PREPARATION PRIOR
SURGERY

THANK YOU

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