[Programmed after care of breast cancer. Results of a follow-up model after 2 years later]. / Programmierte Nachsorge beim Mammakarzinom. Ergebnisse eines Nachsosgemodells nach zwei Jahren.

In two years 359 patients with breast cancer were evaluated in a cooperative follow-up programme in which the organisation and documentation were done in hospital, the medical care and investigations by the family doctor. 72% of 316 evaluable patients remained in regular control. 63% chose the family doctor for follow-up while the others preferred hospital. In the first year 71-80% attended their appointments, in the second year 60-74%. Statistically significant parameters for detection of metastases were the following: general condition, local signs, palpable lymph nodes, markedly increased ESR, alkaline phosphatase, chest radiograph, and bone scan. Cumulative freedom from recurrence in the whole group diminished from 1.0 to 0.631 in 25 months, cumulative survival from 1.0 to 0.876 in 20 months. In both groups there were significant differences between stages I, II and III. Forty patients (16%) out of 250 developed a recurrence within 2.25 years, in five (2%) a second carcinoma developed. There was a high proportion of local recurrences (20 out of 40) and these often led to generalised disease (11 out of 20).

[Injuries of the ligaments of the knee joint; follow-up results (author's transl)]. / Operativ behandelte Kapselbandverletzungen am Kniegelenk-klinische Ergebnisse.

From 1978 to 1979 87 patients with singular and combined injuries of the ligaments of the kneejoint underwent surgery at the Department for Traumatic Surgery of Mannheim. 62 (71.3%) patients could be examined one to two years after operation. In uncomplicated cases of instability of the kneejoint a good to excellent result could be achieved in 62%. In combined instability only 40% good to excellent results were achieved, due to the higher severity of the injury. The classification was measured according to a modified scheme of Gotzen and co-workers [2a].

[Tessellated epithelium cancers in a traumatic chronic ulcer (author's transl)]. / Plattenepithelkarzinom in einem traumatischen, rezidivierenden Ulcus cruris.

The major part of chronic skin ulcers resulting from a trauma show no tela peculiarities during the whole of their development apart from the formation of chronic granulation tissue. In a few cases there is a malign degeneration, which is often detected too late. Based on the experience of two cases, the necessity of exercising a precise control of their development is pointed out. This can be achieved by taking biopsies and by histological treatment.