Transcription of Chapter 13 and Resections Axillary Space Exploration
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Chapter 13 and Resections Axillary Space Exploration
1 Axillary Space Exploration and ResectionsChapter13 James C. Wittig, Martin M. Malawer, Kristen Kellar-Graney,and Robert M. HenshawBACKGROUND The axilla is a common site for primary soft tissue sarco-mas as well as for metastatic disease that involves the axillarylymph nodes, such as advanced breast cancer or melanoma. Sarcomas typically arise from the muscles defining the axil-lary Space (FIG 1). Occasionally, however, they may arise di-rectly from the brachial plexus or Axillary vessels (eg, malig-nant peripheral nerve sheath tumors, neurosarcoma,leiomyosarcoma). Several types of malignant tumors may in-volve the Axillary Space and may require surgical sarcomas occur within the muscles (ie, the pectoralismajor, latissimus dorsi, teres major, and subscapularis mus-cles) that make up the borders of the Axillary Space . Rarely dothey develop within the Axillary fat itself. More commonly,large metastatic deposits to the regional lymph nodes createlarge, matted masses that may require resection.
1 Axillary Space Exploration Chapter 13 and Resections James C. Wittig, Martin M. Malawer, Kristen Kellar-Graney, and Robert M. Henshaw BACKGROUND The axilla is a common site for primary soft tissue sarco-
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