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Lumpectomy for mammary carcinoma. A retrospective analysis of 40 presumptive candidates from a surgical series
Author(s) -
Pickren John W.,
Satchidanand Yashodhara K.,
Lane Warren W.,
Haagensen Cushman D.
Publication year - 1984
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19841015)54:8<1692::aid-cncr2820540834>3.0.co;2-4
Subject(s) - lumpectomy , medicine , breast cancer , carcinoma , lymph node , cancer , breast carcinoma , radical mastectomy , mastectomy , mammary carcinoma , modified radical mastectomy , radiology , surgery , pathology
Abstract This presumptive study concerns the value of lumpectomy as a curative procedure for minimal breast carcinoma, defined as an operable cancer no larger than 2 cm in diameter, with no palpable axillary lymph nodes, and, in peripherally located lesions, no Paget's disease. From 199 surgically treated mammary cancer patients, 40 cases met the minimal criteria. Thirty‐eight of the minimal breast carcinoma patients had a radical mastectomy and two had a supraradical procedure. The pathology findings and survival data were analyzed in these minimal carcinoma cases, and it was calculated that lumpectomy alone would have left cancer cells in 48% of the patients because of regional lymph node involvement by cancer, extension of cells from a peripheral cancer to the nipple ducts, or presence of a second carcinoma in the breast. However, the estimated 30‐year cure rate in these radical surgically treated patients was 86%.