ABSTRACT
Breast carcinoma is the most frequent form of cancer in women. In Switzerland 1265 women died of it in 1975, the mortality rate is rising slowly, the cause of this fact being unclear. There is no uniformity about the best treatment of breast cancer. We analyzed 454 carcinomas, operated in the years 1961--1971 after Halsted, Patey and McWhirter. We found similar 5- and 10-year survival rates with the Halsted and the Patey method of operation, however, decidedly worse results with the simple mastectomy. Nowadays we recommend the modified radical excision of the breast after Patey at all stages; in addition we treat all patients with postoperative X-ray therapy or prescribe an adjuvant cytostatic therapy based on the experimental study of the SAKK (Swiss Therapy Group for Clinical Cancer Research).
Subject(s)
Breast Neoplasms/surgery , Adolescent , Adult , Age Factors , Aged , Axilla/surgery , Breast Neoplasms/mortality , Breast Neoplasms/radiotherapy , Female , Humans , Lymph Node Excision , Mastectomy , Methods , Middle Aged , Prognosis , SwitzerlandABSTRACT
2731 mammography and thermography results were analyzed. The radiological examination could be histologically verified 468 times. The diagnosis made by means of mammography was wrong in 42%, by thermography in 52%. In this group only 3 occult carcinomas were discovered mammographically. A wide range of indications of mammography applied hitherto therefore becomes doubtful. It is recommended to assign all palpable tumours of the female breast directly to the surgeon without mammography.