Substernal node diss: In previous years when large malighancies 5 cm or greater were common in medial breast , internal mammary node dissection employed by Urban. Here costochodral junctions from T2-T4 were removed with medial rt. sternum, exposing internal mammary nodes for removal This, without chemo did improve survival about 10%. if left, these nodes remained substernally eventually ulcerating sternum.i
Answered 5/31/2015
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