Modified Radical Mastectomy (Patey)

  • Jameson L. Chassin


The term modified radical mastectomy has come to mean removal of the breast together with a variable number of axillary lymph nodes. Some surgeons take a few outer lymph nodes, some do a complete excision of the lateral third of the axillary nodes using the pectoralis minor muscle as the upper boundary for their dissection, some elevate the pectoralis minor and take a few lymph nodes deep to this muscle, while others do a complete axillary lymph node dissection to the level of the clavicle. Patey described an operation removing all of the breast tissue together with the underlying fascia of the pectoralis major in continuity with a total axillary lymphadenectomy. The pectoralis minor muscle also was excised.


Skin Flap Radical Mastectomy Biopsy Incision Modify Radical Mastectomy Major Pectoral Muscle 
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  2. Handley RS (1976) The conservative radical mastectomy of Patey: 10-year results in 425 patients. Breast 2: 16Google Scholar
  3. Lotze MT, Duncan MA, Gerber LH, Woltering EA, et al. (1981) Early versus delayed shoulder motion following axillary dissection, a randomized prospective study. Ann Surg 193: 288PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1984

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.New York University School of MedicineUSA
  2. 2.Booth Memorial Medical CenterFlushingUSA
  3. 3.University Hospital, New York University Medical CenterUSA
  4. 4.New York Veterans Administration HospitalUSA
  5. 5.Bellevue HospitalUSA

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