The Validity of Radical Mastectomy in the Treatment of Breast Cancer

Authors

  • Sompong Raksasook Department of Surgery, Ramathibodi Hospital Medical School, Mahidol University, Bangkok, Thailand

Abstract

Analysis of 100 patients suffering from breast cancer was made and the results of treatment by radical and simple mastectomy compared; post-operative radiation being given to both groups. It was found that radical mastectomy gave a higher incidence of survival rate than did simple mastectomy; being 82.36 percent in the former and 68.75 percent in the latter, within one to 10 years. Arm oedema occurred in 35.18 percent of patients after radical mastectomy but none occurred after simple mastectomy.

Radical mastectomy still has a place in the treatment of early breast cancer in this country under the present circumstances. Severe operative morbidity is rather small. This type of operation is advantageous in enabling histological studies of axillary nodes, which serve as a criterion for the use of adjuvant systemic therapy after conventional local treatment.

References

1. Isarangkul, Na Ayuthaya: Relative Frequencies of Primary Cancers of All Sites in Ramthibodi Hospital, 1974-1978, Progress Reports, Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University.

2. Fisher, B: Surgery of Primary Breast Cancer. In McGuire, WL. (Ed.). Breast Cancer, Advances in Research and Treatment, 1, Current Approach to Therapy. Churchill Livingstone 1977, pp 1-42.

3. Stabile, RJ, Santoro E, Dispaltro, F et al: Reconstructive Breast Surgery Following Mastectomy and Adjunctive Radiation Therapy. Cancer 45: 2738-2743, 1980.

4. Bostwick III, J, Scheflan, M: The Latissimus Dorsi Musculocutaneous Flap: A One Stage Breast Reconstruction. Clinics in Plastic Surgery 7: 71-78, 1980.

S. Vesconez, LO, Johnson-Giebink, R, Hall, EJ: Breast Reconstruction. Clinics in Plastic Surgery 7: 79-88, 1980.

6. Donegan, WL: Staging Methods, Primary Treatment, Options and End Results. In Donegan-Spratt: Cancer of the Breast, 2nd Ed., Vol. V in the series MPCS, WB Saunders Co., Philadelphia, London, Toronto 1979, pp 234-235.

7. Williams, 1G, Murley RS, and Curwen MP: Carcinoma of the Female Breast: Conservative and Radical Surgery. Br Med J 2: 787, 1953.

8. Smith, SS and Meyer AC: Cancer of the Breast in Rockford, Illinois. Am J Surg 98: 653, 1959.

9. Taylor, AGC: Radical or Local Mastectomy and Radiotherapy. Royal South Hans Hospital, Southampton, England. (Quoated by Crile, in Postgrad Med 26: 64, 1959).

10. Crile, George Jr.: Results of Conservative Treatment of Breast Cancer at Ten and 15 Years. Ann Surg 181: 26-30, 1975.

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Published

1980-12-30

How to Cite

1.
Raksasook S. The Validity of Radical Mastectomy in the Treatment of Breast Cancer. Thai J Surg [Internet]. 1980 Dec. 30 [cited 2024 Jul. 18];1(4):103-8. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/251265

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Section

Original Articles