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Abstract
Edema of the upper extremity occurs in 20 per cent of cases of advanced carcinoma
of the mammary gland, and in 10 per cent of cases following radical operation for
this disease. The edema following radical operation may be caused by previous malignant
invasion of the tissues, or it may be due to a badly placed incision, namely, an incision
that produces obstruction of the lymphatics from the upper extremity. Incisions with
scar tissue contraction that fall within the axillary space are the most frequent
cause of edema of the upper extremity. A large number of cases of edema of the arm
have occurred as a result of radical operations that have been performed for benign
disease of the breast. A careful study of all cases of tumor of the breast, and a
planned incision for each case should help to lessen the number of cases of edema
of the upper extremity following operation on the mammary gland.
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© 1936 Published by Elsevier Inc.