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IN 1948, the writer together with Dyson published an article analysing the results in a personal series of 118 cases of carcinoma of the breast, operated on in the Middlesex Hospital between 1930 and 1943 and followed up until the end of 1946 (Patey and Dyson, 1948). In 1966 it was thought that it might be of interest to determine the long term results in this same series of cases. The histological records of the Bland Sutton Institute of Pathology were examined, and all cases of carcinoma of the breast operated on during these years from the general wards, either by the writer or by one of his assistants, noted. Excluding cases in which biopsy was the only procedure, records of 146 cases were found. It is not possible at this long interval of time to account for the difference between the present figure of 146 and the figure in the 1948 paper of 118, since the case references of the earlier paper are no longer available. The writer has the strong impression, however, that the earlier paper included only cases operated on by him personally. On the other hand, it became clear when the two series were compared in detail that some cases referred to in the earlier paper did not have a counterpart in the present series. Some may be among records which are unfortunately missing. It is also possible that a few private cases were inadvertently included in the earlier series. The present paper is therefore a follow up of a slightly different, slightly larger, group of cases, which includes however most of the cases in the 1948 series. In calculating length of survival after operation, only calendar years have been taken into account. Thus, a patient operated on any time in 1930 and dying in 1940 is counted as surviving 10 years. The few patients who died within twelve months of operation have been counted as surviving one year.

A review of 146 cases of carcinoma of the breast operated on between 1930 and 1943.