What is a radical neck dissection? when is it done?

What is a radical neck dissection? The surgeon removes a block of tissue from the collarbone to the jaw and from the front to the back of the neck. The large muscle on the side of the neck that is used for rotating, flexing or extending the neck is also taken out, along with the major vein on the side of the neck. Sometimes, a less drastic operation, called a supraomohyoid neck dissection is done. This takes out only the lymph nodes, the tissue surrounding the nodes and a muscle at the front of the neck. Another technique, called a functional neck dissection, saves the muscles of the neck, taking out only the lymph nodes and tissues surrounding them.
What kind of incision is made with a radical neck dissection? The incision depends upon what the surgery is for. It can run from below the ear to the collarbone. Everything in the front of the neck on one side or on both sides may be removed. This may include the lymph nodes, blood vessels, nerves, and the salivary gland under the jawbone.

After my first breast operation I was told that I had cystic mastitis. What does that really mean?

This is a general term for poorly understood changes in the ducts of the breast. It is not an infection, although the terminology suggests that it is. Cystic mastitis may occur in both breasts or be dominant in one. The duct leading to the nipple may give out a greenish yellow discharge. The breast lumps may be quite tender, and they usually vary in size and tenderness in relation to the menstrual cycle. It is a completely innocent process.

Mastitis: Recognition and Treatment

This is also referred to as cystic disease, although in fact it is less a disease than a physiological dysfunction. If the diagnosis can be accurately made in advance, then there is no reason to do anything about it. The injection of hormones is of no help. Surgery is done often for this disease because it can be difficult to differentiate it from a tumor.


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