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Ann Thorac Surg 1984;37:423-427
© 1984 The Society of Thoracic Surgeons

Articles

Radical Forequarter Amputation with Chest Wall Resection

Jack A. Roth, M.D.*, Paul H. Sugarbaker, M.D., Alan R. Baker, M.D.

Surgery Branch, Division of Cancer Treatment, National Cancer Institute, National Institutes of Health, Bethesda, MD

Accepted for publication October 12, 1983.

* Address reprint requests to Dr. Roth, Thoracic Oncology Section, Surgery Branch, National Cancer Institute, Bldg 10, Rm 10N116, Bethesda, MD 20205

Forequarter amputation with resection of the chest wall is indicated for primary bony and soft tissue tumors involving the shoulder girdle, axilla, and chest wall, as well as for recurrent breast cancer in the axilla after irradiation. We describe a modification of this procedure that includes an initial thoracotomy for intraoperative staging and a median sternotomy, which avoids individual division of the anterior ribs and clavicle.




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