Partial mastectomy with axillary lymph node dissection and radiotherapy as a new treatment modality of breast cancer (I).
10.3349/ymj.1992.33.3.272
- Author:
Hy De LEE
1
;
Chang Ok SUH
;
Ki Keun OH
;
Hee Boong PARK
;
Hoon Sang CHI
;
Byong Ro KIM
;
Jin Sik MIN
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Partial mastectomy;
radiotherapy and breast cancer
- MeSH:
Breast Neoplasms/radiotherapy/surgery/*therapy;
Combined Modality Therapy;
Female;
Human;
*Lymph Node Excision;
*Mastectomy, Segmental;
Radiotherapy/adverse effects
- From:Yonsei Medical Journal
1992;33(3):272-276
- CountryRepublic of Korea
- Language:English
-
Abstract:
This is the first preliminary report among two consecutive papers. Partial mastectomy(PM), axillary lymph node dissection(AD) and radiotherapy (RT) were performed on seventeen operable breast cancer patients who had been admitted from April 1991 to March 1992 to the department of surgery, Yongdong Severance Hospital for improved cosmetic appearance and better survival rate. Of seventeen patients, 47% were T1 lesion and 76% were stage I and II. Extensive intraductal component(EIC) within or around the tumor was also analyzed. Twenty nine per cent of the patients were EIC positive. The mean number of axillary lymph nodes was 21.5 after PM with AD and 20.5 after mastectomy. For radiotherapy, 4,500 rad was delivered to the breast parenchyma and 1,600 rad of boost to the primary tumor site using the electron beam method after surgery. All patients have since been living well without any local recurrence and were satisfied with breast preservation for the one-year follow-up period. We concluded that the PM, AD and RT can be another surgical treatment modality of breast cancer. A longer follow-up data will be followed on the second paper.
