[Mammography after breast preserving therapy and reconstruction. Experiences in routine practice]. / Mammographische Untersuchungen nach brusterhaltender Therapie und Aufbauplastiken. Erfahrungen in der täglichen Praxis.

In the last few years we have seen, in daily routine, many different methods of operation and their complications. We want to show several diagnostical difficulties. Between January 1995 and July 1996 we evaluated all our patients retrospectively. They were treated by several methods of operation. The women were examined with the routine possibilities such as mammography, sonography, fine needle biopsy, and clinical examination. We examined 161 patients in the last 18 months. They were treated by breast-conserving therapy (127 women) and augmentation (34 women) at the age of 29-82 (O 55 years). We listed complications as well as early and late recurrences. The time after operation was 1/2-22 years. In our long-term experience we found fewer recurrences after breast-conserving treatment when the women also received radiation too (only operation 16%, operation and radiation 7.6%). For the future it is hoped to eliminate local recurrences by new operation methods (augmentation plasty with flaps, TEM flaps). Two patients with local recurrence are still alive after 22 years, so that not only local diagnosis and state of nodes are important also the individual immune reaction.

[Change in the glandular bodies of the breast after hormone therapy. Observations from the radiologic viewpoint]. / Anderung des Drüsenkörpers der Mammae nach Hormontherapie. Beobachtungen aus radiologischer Sicht.

In the last few years we have recognized a clear change in the mammograms in women undergoing hormone replacement therapy. Not all of them reacted in the same way: 30% on 366 treated patients showed a distinct glandular hyperplasia. Some developed nodes like cysts or adenomas, others had an increase in calcification as a sign of epithelia proliferation, as verified by histological examination. The opposite effect was seen in women receiving antioestrogen therapy as a consequence of breast-conserving therapy. The problems will be illustrated.

[Interval cancers of the breast in general practice--experiences in 10 years of observation]. / Intervallkarzinome der Mamma in der Praxis--Erfahrungen in 10jähriger Beobachtungszeit.

Of 288 carcinomas, 51 carcinoma developed between two mammography controls during the last 10 years. These were classified according to time, growth, TNM Stage age and histological diagnosis. Various premonitary symptoms are reported which--after retrospective consideration--deserve attention before clinical and radiological manifestation and make short-term controls mandatory Scanning technique using highly sensitive X-ray films is an absolute "must" in present-day diagnostic procedures.

[Practical experiences with grid mammography in everyday practice]. / Praktische Erfahrungen mit der Rastermammographie in der alltäglichen Praxis.

A one-year experience with the soft tissue grid mammographic technique (Siemens) and film screen combinations (Kodak) in 2290 patients 1982 is analysed. A comparison of the quality of mammograms between conventional technique und soft tissue grid technique with film screen combinations (NMB + MA5 films, Kodak) is made. The optimal quality of grid mammograms and the less radiation dose, especially in large breasts, is achieved with the NMB film (Kodak).

[Treatment of malignant and premalignant diseases of the breast by subcutaneous mastectomy with simultaneous augmentation mammoplasty (author's transl)]. / Die Behandlung maligner und präkanzeröser Prozesse der Mamma durch subkutane Mastektomie mit gleichzeitiger Augmentation.

Among 6 patients with small intra-ductal carcinomas of the breast two had local recurrences of cancer following unilateral subcutaneous mastectomy. We therefore limit subcutaneous mastectomy to pre-cancerous conditions and then use a bilateral subcutaneous mastectomy with augmentation mammoplasty. Our methods and results in 28 cases are described. We think that the removal of approximately 95% of the breast tissue is enough assurance to the patient that no cancer will develop later. The patients are happy with the cosmetic results and abandon their cancerophobia generated by long term diagnostic observation.

[New perspectives in the treatment of occult, non invasive breast cancers by means of non-notilating surgical therapies (author's transl)]. / Neue Perspektiven in der Behandlung von okkulten, nicht invasiven Carcinomen durch brusterhaltende Operationen

Six cases of occult, non-invasive cancer or cancer lobular "in situ" of the breast are presented which were treated by means of non-mutilating surgical therapies (such as subcutaneous mastectomy or tumorectomy). Control between 1 and 4 years.