Radical mastectomy should be replaced by a number of different types of operation which are either more conservative or more extended according to the spread of the disease. For T 1N 0 cases a new procedure consisting of removal of a quadrant of the breast, with axillary dissection plus radiotherapy on the residual breast tissue, is under evaluation. In T 2N 0 cases modified radical mastectomy is suggested as a procedure of choice, whilst T 3 cases and all N 1 cases should still undergo radical mastectomy. Cases with tumor of inner quadrants with positive axillary nodes will benefit from removal of internal mammary nodes. Superradical mastectomy is limited to selected special cases with extensive lymph node invasion. All N + cases receive adjuvant chemotherapy. In locally advanced cases 'reductive' surgery may form part of an aggressive chemotherapy program.
|Number of pages||5|
|Journal||Schweizerische Medizinische Wochenschrift|
|Publication status||Published - 1977|
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