Conservative treatment of initial breast cancer
Tóm tắt
The results of conservative surgical techniques (quadrantectomy or tumorectomy), axillary dissection and radiotherapy in 58 patients with initial breast cancer (Tt No, Mo) treated between June 1979 and December 1986 are reported. The disease-free survival rates after 5 and 8 years were 84% and 76% respectively. Four cases developed local recurrences (6.9%); 2 cases developed distant metastases involving lung and bone, and 1 case developed bone metastases without local recurrence. Two patients with local recurrence underwent radical life-saving mastectomy and are now free from disease. Conservative surgery combined with radiotherapy was shown to be quite effective in controlling initial breast cancer not only in the cases included in our study (T1, No, Mo) but also in cases with N and T2 smaller than 3 cm, as reported in the literature. Prognosis was quite favorable for cases with local recurrence, since control of the disease was still possible through salvage radical mastectomy.
Tài liệu tham khảo
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